Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.49 / $33.49 / $33.49	Facility	26	$33.49	$33.49	$33.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $102.46 / $119.88	Professional		$78.81	$102.46	$119.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.78 / $68.97 / $86.27	Professional	TC	$53.78	$68.97	$86.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $100.81 / $151.19	Professional		$40.83	$100.81	$151.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $123.82 / $240.25	Professional		$79.81	$123.82	$240.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.41 / $80.98 / $161.88	Professional	TC	$55.41	$80.98	$161.88
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $25.09 / $25.09 / $33.49	Facility	26	$25.09	$25.09	$33.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $102.46 / $155.77	Professional		$89.86	$102.46	$155.77
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $61.87 / $68.97 / $103.46	Professional	TC	$61.87	$68.97	$103.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $76.71 / $117.12	Professional		$34.95	$76.71	$117.12
United Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $107.05 / $151.28	Professional		$85.79	$107.05	$151.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.36 / $73.98 / $116.77	Professional	TC	$57.36	$73.98	$116.77