Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.10 / $27.10 / $27.10	Facility	26	$27.10	$27.10	$27.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $206.67 / $307.17	Professional		$161.91	$206.67	$307.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $254.99 / $322.08	Professional		$33.86	$254.99	$322.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.15 / $268.86 / $426.41	Professional		$170.15	$268.86	$426.41
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.13 / $19.13 / $27.10	Facility	26	$19.13	$19.13	$27.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.71 / $188.11 / $267.63	Professional		$154.71	$188.11	$267.63
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 $161.03 / $201.74 / $270.67	Professional		$161.03	$201.74	$270.67