Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.59 / $71.59 / $71.59	Facility	26	$71.59	$71.59	$71.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $139.47 / $160.97	Professional		$108.34	$139.47	$160.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.13 / $121.68 / $214.76	Professional		$90.13	$121.68	$214.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $198.93 / $542.40	Professional		$102.30	$198.93	$542.40
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $57.92 / $71.59 / $71.59	Facility	26	$57.92	$71.59	$71.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $136.04 / $191.37	Professional		$113.37	$136.04	$191.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $79.73 / $155.54	Professional		$56.01	$79.73	$155.54
United Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $143.47 / $213.46	Professional		$102.73	$143.47	$213.46