Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $202.32 / $227.71	Professional		$169.11	$202.32	$227.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $214.92 / $311.52	Professional		$81.56	$214.92	$311.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.27 / $300.18 / $792.74	Professional		$148.27	$300.18	$792.74
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $49.75 / $49.75 / $61.34	Facility	26	$49.75	$49.75	$61.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $203.52 / $289.60	Professional		$175.24	$203.52	$289.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $129.65 / $204.71	Professional		$61.81	$129.65	$204.71
United Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $214.37 / $340.85	Professional		$148.41	$214.37	$340.85