Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.37 / $77.37 / $77.37	Facility	26	$77.37	$77.37	$77.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.26 / $388.96 / $601.61	Professional		$305.26	$388.96	$601.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.90 / $77.37 / $99.40	Professional	26	$59.90	$77.37	$99.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.39 / $494.99 / $593.99	Professional		$399.39	$494.99	$593.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.26 / $102.26 / $102.26	Professional	26	$102.26	$102.26	$102.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.27 / $586.71 / $801.57	Professional		$303.27	$586.71	$801.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.43 / $92.31 / $142.66	Professional	26	$47.43	$92.31	$142.66
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $53.79 / $53.79 / $77.37	Facility	26	$53.79	$53.79	$77.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $294.43 / $356.00 / $567.41	Professional		$294.43	$356.00	$567.41
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $53.79 / $67.23 / $110.43	Professional	26	$53.79	$67.23	$110.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $264.20 / $347.20	Professional		$34.36	$264.20	$347.20
United Facility/Professional Professional Modifier Low / Median / High Price $297.63 / $375.68 / $553.36	Professional		$297.63	$375.68	$553.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.35 / $74.38 / $96.22	Professional	26	$62.35	$74.38	$96.22