Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.50 / $118.50 / $118.50	Facility	26	$118.50	$118.50	$118.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.40 / $100.40 / $100.40	Facility	26	$100.40	$100.40	$100.40
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $59.23 / $59.23 / $118.50	Facility	26	$59.23	$59.23	$118.50