Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.27 / $90.27 / $90.27	Facility	26	$90.27	$90.27	$90.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.21 / $522.50 / $688.75	Professional		$420.21	$522.50	$688.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.92 / $90.27 / $154.00	Professional	26	$72.92	$90.27	$154.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.58 / $620.98 / $745.18	Professional		$104.58	$620.98	$745.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.85 / $111.85 / $111.85	Professional	26	$111.85	$111.85	$111.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.11 / $578.25 / $854.82	Professional		$327.11	$578.25	$854.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.80 / $88.98 / $149.04	Professional	26	$56.80	$88.98	$149.04
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $60.11 / $60.11 / $90.27	Facility	26	$60.11	$60.11	$90.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $428.53 / $636.48	Professional		$326.80	$428.53	$636.48
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $60.11 / $75.22 / $117.28	Professional	26	$60.11	$75.22	$117.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $328.90 / $522.67	Professional		$94.06	$328.90	$522.67
United Facility/Professional Professional Modifier Low / Median / High Price $401.85 / $461.36 / $587.61	Professional		$401.85	$461.36	$587.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.28 / $80.40 / $106.24	Professional	26	$68.28	$80.40	$106.24