Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.31 / $91.31 / $91.31	Facility	26	$91.31	$91.31	$91.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $100.00 / $265.00	Professional	26	$91.31	$100.00	$265.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $143.80 / $143.80 / $143.80	Professional	26	$143.80	$143.80	$143.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.23 / $111.89 / $213.15	Professional	26	$66.23	$111.89	$213.15
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $80.64 / $80.64 / $91.31	Facility	26	$80.64	$80.64	$91.31
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $80.64 / $91.31 / $137.41	Professional	26	$80.64	$91.31	$137.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.91 / $102.44 / $144.83	Professional	26	$86.91	$102.44	$144.83