Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $75.86	Facility	26	$72.44	$72.44	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $707.95	Professional		$234.42	$426.58	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $102.33 / $181.97	Professional	26	$57.54	$102.33	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $302.00 / $549.54	Professional	TC	$181.97	$302.00	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $371.54	Professional		$331.13	$346.74	$371.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $89.13 / $120.23	Professional	26	$89.13	$89.13	$120.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	TC	$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $64.57 / $91.20	Facility	26	$13.80	$64.57	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $501.19 / $891.25	Professional		$234.42	$501.19	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $75.86 / $165.96	Professional	26	$47.86	$75.86	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $346.74 / $758.58	Professional	TC	$177.83	$346.74	$758.58
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $75.86 / $134.90	Facility	26	$72.44	$75.86	$134.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $741.31	Professional		$239.88	$426.58	$741.31
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $75.86 / $154.88	Professional	26	$48.98	$75.86	$154.88
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $338.84 / $562.34	Professional	TC	$186.21	$338.84	$562.34
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $64.57 / $91.20	Facility	26	$13.80	$64.57	$91.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $426.58 / $891.25	Professional		$199.53	$426.58	$891.25
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $63.10 / $151.36	Professional	26	$43.65	$63.10	$151.36
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $331.13 / $812.83	Professional	TC	$147.91	$331.13	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $616.60	Professional		$234.42	$398.11	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $63.10 / $100.00	Professional	26	$53.70	$63.10	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $316.23 / $537.03	Professional	TC	$177.83	$316.23	$537.03