Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.87 / $65.87 / $69.16	Facility	26	$65.87	$65.87	$69.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.47 / $352.73 / $539.63	Professional		$286.47	$352.73	$539.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.31 / $473.58 / $529.08	Professional		$372.31	$473.58	$529.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $382.27 / $630.74	Professional		$77.78	$382.27	$630.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.60 / $565.66 / $779.39	Professional		$310.60	$565.66	$779.39
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $46.39 / $65.87 / $67.05	Facility	26	$46.39	$65.87	$67.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $285.17 / $340.28 / $520.77	Professional		$285.17	$340.28	$520.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $264.20 / $347.20	Professional		$34.36	$264.20	$347.20
United Facility/Professional Professional Modifier Low / Median / High Price $296.95 / $363.60 / $476.83	Professional		$296.95	$363.60	$476.83