Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.59 / $30.96 / $30.96	Facility	26	$22.59	$30.96	$30.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $86.03 / $108.86	Professional		$58.31	$86.03	$108.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $113.53 / $143.41	Professional		$30.32	$113.53	$143.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $67.68 / $98.12	Professional		$20.64	$67.68	$98.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $122.69 / $330.78	Professional		$47.68	$122.69	$330.78
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $18.25 / $18.25 / $30.96	Facility	26	$18.25	$18.25	$30.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $85.50 / $120.94	Professional		$63.34	$85.50	$120.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $66.89 / $97.59	Professional		$52.34	$66.89	$97.59
United Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $92.39 / $127.14	Professional		$43.18	$92.39	$127.14