Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.11 / $113.11 / $113.11	Facility	26	$113.11	$113.11	$113.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $275.06 / $367.14	Professional		$220.00	$275.06	$367.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.91 / $463.15 / $658.17	Professional		$144.91	$463.15	$658.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.32 / $354.16 / $644.91	Professional		$221.32	$354.16	$644.91
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $71.50 / $71.50 / $113.11	Facility	26	$71.50	$71.50	$113.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $233.65 / $408.84	Professional		$182.24	$233.65	$408.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $227.10 / $367.69	Professional		$93.24	$227.10	$367.69
United Facility/Professional Professional Modifier Low / Median / High Price $220.98 / $291.95 / $388.86	Professional		$220.98	$291.95	$388.86