Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.96 / $22.96 / $22.96	Facility	26	$22.96	$22.96	$22.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $99.07 / $118.30	Professional		$59.75	$99.07	$118.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $135.44 / $155.77	Professional		$31.77	$135.44	$155.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $130.63 / $395.65	Professional		$61.81	$130.63	$395.65
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $17.92 / $17.92 / $22.96	Facility	26	$17.92	$17.92	$22.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $87.98 / $125.89	Professional		$65.95	$87.98	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $66.89 / $97.59	Professional		$53.04	$66.89	$97.59
United Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $85.42 / $142.97	Professional		$42.94	$85.42	$142.97