Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $91.20 / $91.20	Facility	26	$89.13	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $676.08	Professional		$398.11	$501.19	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $165.96	Professional	26	$70.79	$89.13	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $645.65	Professional		$512.86	$616.60	$645.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $151.36 / $151.36	Professional	26	$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $851.14	Professional		$338.84	$602.56	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $102.33 / $162.18	Professional	26	$58.88	$102.33	$162.18
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $158.49 / $177.83	Facility	26	$64.57	$158.49	$177.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $630.96	Professional		$323.59	$457.09	$630.96
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $141.25	Professional	26	$60.26	$85.11	$141.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $851.14	Professional		$371.54	$645.65	$851.14
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $102.33 / $162.18	Professional	26	$66.07	$102.33	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $588.84	Professional		$380.19	$457.09	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $81.28 / $95.50	Professional	26	$67.61	$81.28	$95.50