Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $169.82 / $169.82	Facility	26	$134.90	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $562.34	Professional		$323.59	$380.19	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $120.23 / $199.53	Professional	26	$100.00	$120.23	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $269.15 / $380.19	Professional	TC	$229.09	$269.15	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $512.86	Professional		$354.81	$512.86	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Professional	26	$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $575.44	Professional		$316.23	$398.11	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $141.25 / $239.88	Professional	26	$97.72	$141.25	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $288.40 / $537.03	Professional	TC	$204.17	$288.40	$537.03
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $275.42 / $323.59	Facility	26	$117.49	$275.42	$323.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $549.54	Professional		$309.03	$398.11	$549.54
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $128.82 / $177.83	Professional	26	$104.71	$128.82	$177.83
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $257.04 / $371.54	Professional	TC	$199.53	$257.04	$371.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $575.44	Professional		$323.59	$371.54	$575.44
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $147.91 / $239.88	Professional	26	$114.82	$147.91	$239.88
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $288.40 / $537.03	Professional	TC	$204.17	$288.40	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $562.34	Professional		$323.59	$398.11	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $138.04 / $181.97	Professional	26	$109.65	$138.04	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $251.19 / $389.05	Professional	TC	$199.53	$251.19	$389.05