Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $23.99 / $23.99	Facility	26	$22.91	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $275.42	Professional		$144.54	$181.97	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $281.84	Professional		$229.09	$263.03	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $426.58	Professional		$162.18	$257.04	$426.58
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $45.71 / $50.12	Facility	26	$18.62	$45.71	$50.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $263.03	Professional		$147.91	$190.55	$263.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $426.58	Professional		$154.88	$199.53	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $263.03	Professional		$144.54	$194.98	$263.03