Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.10 / $41.10 / $41.10	Facility	26	$41.10	$41.10	$41.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $248.46 / $327.96	Professional		$192.63	$248.46	$327.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $302.30 / $381.85	Professional		$53.85	$302.30	$381.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.54 / $330.67 / $519.00	Professional		$208.54	$330.67	$519.00
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $28.12 / $28.12 / $41.10	Facility	26	$28.12	$28.12	$41.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $232.64 / $342.41	Professional		$176.40	$232.64	$342.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $182.32 / $265.20	Professional		$34.19	$182.32	$265.20
United Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $232.10 / $317.63	Professional		$186.90	$232.10	$317.63