Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.96 / $97.96 / $97.96	Facility	26	$97.96	$97.96	$97.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $375.16 / $577.39	Professional		$250.00	$375.16	$577.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $406.57 / $525.88	Professional		$112.55	$406.57	$525.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.80 / $86.80 / $86.80	Facility	26	$86.80	$86.80	$86.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $576.96 / $943.97	Professional		$313.14	$576.96	$943.97
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $62.87 / $62.87 / $97.96	Facility	26	$62.87	$62.87	$97.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $344.46 / $384.61 / $583.45	Professional		$344.46	$384.61	$583.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $230.37 / $378.52	Professional		$93.67	$230.37	$378.52
United Facility/Professional Professional Modifier Low / Median / High Price $346.96 / $455.81 / $646.44	Professional		$346.96	$455.81	$646.44