Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.60 / $86.60 / $109.11	Facility	26	$86.60	$86.60	$109.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $276.17 / $289.97	Professional		$205.62	$276.17	$289.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.55 / $311.94 / $396.25	Professional		$110.55	$311.94	$396.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.05 / $270.95 / $491.65	Professional		$169.05	$270.95	$491.65
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $54.23 / $54.23 / $86.60	Facility	26	$54.23	$54.23	$86.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $209.21 / $347.97	Professional		$139.19	$209.21	$347.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $162.04 / $257.37	Professional		$61.49	$162.04	$257.37
United Facility/Professional Professional Modifier Low / Median / High Price $176.61 / $230.22 / $304.38	Professional		$176.61	$230.22	$304.38