Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.89 / $33.89 / $33.89	Facility	26	$33.89	$33.89	$33.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $106.57 / $155.13	Professional		$63.57	$106.57	$155.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $129.75 / $165.53	Professional		$41.83	$129.75	$165.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $73.98 / $112.77	Professional		$30.04	$73.98	$112.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $114.63 / $218.09	Professional		$72.31	$114.63	$218.09
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $23.97 / $23.97 / $33.89	Facility	26	$23.97	$23.97	$33.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $89.62 / $136.91	Professional		$74.81	$89.62	$136.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $77.58 / $119.74	Professional		$36.29	$77.58	$119.74
United Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $103.50 / $135.72	Professional		$84.51	$103.50	$135.72