Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.06 / $37.06 / $37.06	Facility	26	$37.06	$37.06	$37.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $66.72 / $201.98	Professional		$47.99	$66.72	$201.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $29.09 / $38.90	Professional	26	$26.07	$29.09	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.31 / $241.50 / $356.98	Professional		$47.31	$241.50	$356.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.60 / $50.60 / $50.60	Professional	26	$50.60	$50.60	$50.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $182.58 / $282.20	Professional		$44.07	$182.58	$282.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $158.02 / $186.74	Professional		$84.04	$158.02	$186.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $35.57	Professional	26	$28.27	$28.27	$35.57
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $22.55 / $22.55 / $37.06	Facility	26	$22.55	$22.55	$37.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $53.42 / $202.74	Professional		$39.09	$53.42	$202.74
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $22.55 / $29.08 / $39.92	Professional	26	$22.55	$29.08	$39.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $151.21 / $227.29	Professional		$34.60	$151.21	$227.29
United Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $91.30 / $170.64	Professional		$58.17	$91.30	$170.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.56 / $36.13 / $48.89	Professional	26	$26.56	$36.13	$48.89