Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.99 / $46.99 / $46.99	Facility	26	$46.99	$46.99	$46.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $125.22 / $155.76	Professional		$83.63	$125.22	$155.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.08 / $78.23 / $115.80	Professional	TC	$52.08	$78.23	$115.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $129.07 / $185.54	Professional		$59.26	$129.07	$185.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $45.47 / $45.47	Facility	26	$45.47	$45.47	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $152.90 / $272.81	Professional		$82.54	$152.90	$272.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.53 / $92.96 / $200.78	Professional	TC	$50.53	$92.96	$200.78
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $32.29 / $32.29 / $46.99	Facility	26	$32.29	$32.29	$46.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $123.47 / $178.46	Professional		$105.53	$123.47	$178.46
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $69.56 / $78.23 / $117.35	Professional	TC	$69.56	$78.23	$117.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $76.59 / $117.12	Professional		$34.95	$76.59	$117.12
United Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $130.80 / $213.66	Professional		$98.49	$130.80	$213.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.85 / $83.48 / $138.16	Professional	TC	$54.85	$83.48	$138.16