Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.68 / $134.68 / $169.69	Facility	26	$134.68	$134.68	$169.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.73 / $450.27 / $450.27	Professional		$270.73	$450.27	$450.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.12 / $134.68 / $134.68	Professional	26	$99.12	$134.68	$134.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.12 / $315.58 / $315.58	Professional	TC	$165.12	$315.58	$315.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $317.77 / $543.78	Professional		$86.43	$317.77	$543.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $166.70 / $166.70 / $166.70	Professional	26	$166.70	$166.70	$166.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $377.02 / $752.68	Professional		$323.75	$377.02	$752.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.84 / $123.43 / $217.41	Professional	26	$97.84	$123.43	$217.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.92 / $286.80 / $535.27	Professional	TC	$203.92	$286.80	$535.27
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $109.91 / $109.91 / $169.69	Facility	26	$109.91	$109.91	$169.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $309.50 / $359.02 / $565.21	Professional		$309.50	$359.02	$565.21
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $109.91 / $118.16 / $169.69	Professional	26	$109.91	$118.16	$169.69
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $199.59 / $242.35 / $337.06	Professional	TC	$199.59	$242.35	$337.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.22 / $237.47 / $399.31	Professional		$94.22	$237.47	$399.31
United Facility/Professional Professional Modifier Low / Median / High Price $342.95 / $408.81 / $567.15	Professional		$342.95	$408.81	$567.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $122.28 / $147.26 / $185.38	Professional	26	$122.28	$147.26	$185.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.58 / $257.68 / $373.67	Professional	TC	$214.58	$257.68	$373.67