Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.97 / $83.97 / $83.97	Facility	26	$83.97	$83.97	$83.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.97 / $113.40 / $265.00	Professional	26	$83.97	$113.40	$265.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.41 / $102.13 / $193.38	Professional	26	$62.41	$102.13	$193.38
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $74.65 / $74.65 / $83.97	Facility	26	$74.65	$74.65	$83.97
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $74.65 / $83.97 / $248.00	Professional	26	$74.65	$83.97	$248.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.34 / $95.87 / $168.24	Professional	26	$84.34	$95.87	$168.24