Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.95 / $23.95 / $23.95	Facility	26	$23.95	$23.95	$23.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $200.56 / $299.43	Professional		$157.19	$200.56	$299.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $248.37 / $312.61	Professional		$29.88	$248.37	$312.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.52 / $259.17 / $411.20	Professional		$163.52	$259.17	$411.20
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $17.21 / $17.21 / $23.95	Facility	26	$17.21	$17.21	$23.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $179.53 / $287.47	Professional		$148.03	$179.53	$287.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.61 / $161.72 / $212.06	Professional		$132.61	$161.72	$212.06
United Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $176.42 / $251.01	Professional		$153.78	$176.42	$251.01