Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.90 / $69.90 / $69.90	Facility	26	$69.90	$69.90	$69.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.75 / $186.66 / $297.41	Professional		$142.75	$186.66	$297.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $440.12 / $598.17	Professional		$87.15	$440.12	$598.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.42 / $67.42 / $67.42	Facility	26	$67.42	$67.42	$67.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $408.86 / $1,022.77	Professional		$264.27	$408.86	$1,022.77
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $45.19 / $45.19 / $69.90	Facility	26	$45.19	$45.19	$69.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $156.11 / $257.89 / $441.84	Professional		$156.11	$257.89	$441.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $105.45 / $193.27	Professional		$61.90	$105.45	$193.27
United Facility/Professional Professional Modifier Low / Median / High Price $279.12 / $364.50 / $539.70	Professional		$279.12	$364.50	$539.70