Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.09 / $172.09 / $216.83	Facility	26	$172.09	$172.09	$216.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.58 / $882.14 / $1,448.27	Professional		$741.58	$882.14	$1,448.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.85 / $1,220.05 / $1,389.58	Professional		$977.85	$1,220.05	$1,389.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $646.67 / $912.65	Professional		$119.95	$646.67	$912.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.71 / $1,170.08 / $1,809.89	Professional		$763.71	$1,170.08	$1,809.89
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $155.91 / $172.09 / $216.83	Facility	26	$155.91	$172.09	$216.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $786.75 / $926.25 / $1,448.27	Professional		$786.75	$926.25	$1,448.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $669.76 / $1,024.00	Professional		$94.39	$669.76	$1,024.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.97 / $1,024.84 / $1,487.96	Professional		$836.97	$1,024.84	$1,487.96