Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $112.20 / $112.20	Facility	26	$109.65	$112.20	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $107.15 / $151.36	Facility	26	$22.91	$107.15	$151.36
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $204.17 / $239.88	Facility	26	$87.10	$204.17	$239.88
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $107.15 / $151.36	Facility	26	$22.91	$107.15	$151.36