Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.45 / $78.47 / $82.39	Facility	26	$78.45	$78.47	$82.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $108.54 / $141.07	Professional		$85.86	$108.54	$141.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.95 / $62.65 / $100.98	Professional	26	$58.95	$62.65	$100.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $135.30 / $156.66	Professional		$41.83	$135.30	$156.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.59 / $107.59 / $107.59	Professional	26	$107.59	$107.59	$107.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $148.87 / $327.37	Professional		$74.43	$148.87	$327.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.97 / $86.32 / $140.72	Professional	26	$53.97	$86.32	$140.72
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $53.21 / $78.45 / $79.88	Facility	26	$53.21	$78.45	$79.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $104.87 / $154.57	Professional		$82.25	$104.87	$154.57
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $53.21 / $65.77 / $105.93	Professional	26	$53.21	$65.77	$105.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $53.66 / $80.59	Professional		$28.70	$53.66	$80.59
United Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $113.04 / $204.08	Professional		$95.28	$113.04	$204.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.97 / $74.70 / $95.37	Professional	26	$59.97	$74.70	$95.37