Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.73 / $42.73 / $42.73	Facility	26	$42.73	$42.73	$42.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.07 / $198.22 / $215.86	Professional		$156.07	$198.22	$215.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $242.22 / $305.95	Professional		$53.29	$242.22	$305.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $293.20 / $402.05	Professional		$156.01	$293.20	$402.05
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $29.97 / $29.97 / $42.73	Facility	26	$29.97	$29.97	$42.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $176.34 / $254.65	Professional		$150.72	$176.34	$254.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $138.82 / $189.67	Professional		$34.19	$138.82	$189.67
United Facility/Professional Professional Modifier Low / Median / High Price $162.58 / $193.15 / $262.56	Professional		$162.58	$193.15	$262.56