Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.53 / $47.53 / $49.90	Facility	26	$47.53	$47.53	$49.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $197.30 / $422.87	Professional		$137.84	$197.30	$422.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $217.86 / $305.20	Professional		$51.79	$217.86	$305.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.51 / $40.51 / $40.51	Facility	26	$40.51	$40.51	$40.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.58 / $194.93 / $469.99	Professional		$138.58	$194.93	$469.99
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $36.09 / $46.98 / $47.53	Facility	26	$36.09	$46.98	$47.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $130.60 / $185.30 / $412.55	Professional		$130.60	$185.30	$412.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $123.08 / $202.16	Professional		$36.43	$123.08	$202.16
United Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $169.92 / $242.88	Professional		$138.94	$169.92	$242.88