Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $57.54 / $69.18	Facility	26	$54.95	$57.54	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $158.49	Professional		$61.66	$81.28	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $120.23	Professional	26	$38.02	$47.86	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $112.20 / $120.23	Professional		$51.29	$112.20	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $269.15	Professional		$70.79	$95.50	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $56.23 / $144.54	Professional	26	$41.69	$56.23	$144.54
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $69.18 / $97.72	Facility	26	$36.31	$69.18	$97.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $147.91	Professional		$63.10	$83.18	$147.91
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $47.86 / $100.00	Professional	26	$33.88	$47.86	$100.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $269.15	Professional		$70.79	$95.50	$269.15
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $58.88 / $144.54	Professional	26	$40.74	$58.88	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $107.15	Professional		$64.57	$79.43	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $52.48 / $70.79	Professional	26	$41.69	$52.48	$70.79