Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.97 / $121.97 / $121.97	Facility	26	$121.97	$121.97	$121.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $240.85 / $325.97	Professional		$172.82	$240.85	$325.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $203.88 / $396.79	Professional		$153.38	$203.88	$396.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.68 / $358.79 / $962.52	Professional		$192.68	$358.79	$962.52
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $98.92 / $98.92 / $121.97	Facility	26	$98.92	$98.92	$121.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.73 / $234.16 / $333.14	Professional		$177.73	$234.16	$333.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $144.85 / $271.91	Professional		$93.78	$144.85	$271.91
United Facility/Professional Professional Modifier Low / Median / High Price $169.69 / $249.60 / $376.72	Professional		$169.69	$249.60	$376.72