Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.93 / $54.93 / $54.93	Facility	26	$54.93	$54.93	$54.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $214.29 / $321.72	Professional		$154.30	$214.29	$321.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $334.94 / $405.46	Professional		$69.22	$334.94	$405.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.38 / $52.38 / $52.38	Facility	26	$52.38	$52.38	$52.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.18 / $275.29 / $503.57	Professional		$167.18	$275.29	$503.57
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $54.93 / $59.97 / $59.97	Facility	26	$54.93	$59.97	$59.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $214.29 / $239.92 / $326.39	Professional		$214.29	$239.92	$326.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $190.12 / $281.05	Professional		$61.81	$190.12	$281.05
United Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $243.97 / $323.70	Professional		$195.08	$243.97	$323.70