Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.04 / $80.04 / $80.05	Facility	26	$80.04	$80.04	$80.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.57 / $336.35 / $442.88	Professional		$248.57	$336.35	$442.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $348.98 / $435.93	Professional		$106.14	$348.98	$435.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.94 / $398.11 / $640.80	Professional		$250.94	$398.11	$640.80
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $56.83 / $80.04 / $80.05	Facility	26	$56.83	$80.04	$80.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $250.62 / $282.86 / $431.69	Professional		$250.62	$282.86	$431.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $187.22 / $260.38	Professional		$61.39	$187.22	$260.38
United Facility/Professional Professional Modifier Low / Median / High Price $277.57 / $335.26 / $466.08	Professional		$277.57	$335.26	$466.08