Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.32 / $48.32 / $50.73	Facility	26	$48.32	$48.32	$50.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $105.51 / $122.75	Professional		$77.31	$105.51	$122.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $100.17 / $193.59	Professional		$61.25	$100.17	$193.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $159.29 / $450.33	Professional		$73.75	$159.29	$450.33
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $39.03 / $48.32 / $48.32	Facility	26	$39.03	$48.32	$48.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $105.51 / $148.56	Professional		$86.56	$105.51	$148.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $78.19 / $122.43	Professional		$35.83	$78.19	$122.43
United Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $105.08 / $153.19	Professional		$71.70	$105.08	$153.19