Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.65 / $129.65 / $129.65	Facility	26	$129.65	$129.65	$129.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.05 / $129.65 / $155.58	Professional	26	$97.05	$129.65	$155.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $173.63 / $173.63 / $173.63	Professional	26	$173.63	$173.63	$173.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.75 / $155.30 / $239.91	Professional	26	$81.75	$155.30	$239.91
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $94.54 / $94.54 / $129.65	Facility	26	$94.54	$94.54	$129.65
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $94.54 / $117.58 / $163.46	Professional	26	$94.54	$117.58	$163.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.86 / $126.73 / $167.32	Professional	26	$107.86	$126.73	$167.32