Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $46.77 / $46.77	Facility	26	$45.71	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $223.87	Professional		$72.44	$112.20	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $70.79 / $141.25	Professional	TC	$46.77	$70.79	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $173.78	Professional		$97.72	$162.18	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $45.71 / $64.57	Facility	26	$9.77	$45.71	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $338.84	Professional		$83.18	$151.36	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $100.00 / $223.87	Professional	TC	$50.12	$100.00	$223.87
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $81.28 / $95.50	Facility	26	$34.67	$81.28	$95.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $165.96	Professional		$95.50	$120.23	$165.96
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $77.62 / $114.82	Professional	TC	$60.26	$77.62	$114.82
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $45.71 / $64.57	Facility	26	$9.77	$45.71	$64.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $295.12	Professional		$81.28	$112.20	$295.12
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $89.13 / $251.19	Professional	TC	$47.86	$89.13	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $218.78	Professional		$97.72	$131.83	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $83.18 / $158.49	Professional	TC	$54.95	$83.18	$158.49