Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.27 / $52.27 / $65.86	Facility	26	$52.27	$52.27	$65.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.76 / $246.29 / $360.00	Professional		$198.76	$246.29	$360.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $301.36 / $380.66	Professional		$65.23	$301.36	$380.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.86 / $370.69 / $502.82	Professional		$200.86	$370.69	$502.82
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $36.25 / $36.25 / $52.27	Facility	26	$36.25	$36.25	$52.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $187.71 / $228.44 / $360.00	Professional		$187.71	$228.44	$360.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $169.62 / $227.84	Professional		$33.83	$169.62	$227.84
United Facility/Professional Professional Modifier Low / Median / High Price $215.57 / $240.93 / $321.86	Professional		$215.57	$240.93	$321.86