Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $112.01 / $132.11	Professional		$73.29	$112.01	$132.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $18.79 / $22.76	Professional	26	$13.71	$18.79	$22.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $93.22 / $109.35	Professional	TC	$60.10	$93.22	$109.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $151.22 / $188.42	Professional		$29.28	$151.22	$188.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $115.36 / $236.71	Professional		$69.18	$115.36	$236.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $23.77 / $44.88	Professional	26	$14.78	$23.77	$44.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.34 / $92.13 / $196.59	Professional	TC	$47.34	$92.13	$196.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $97.99 / $157.77	Professional		$61.41	$97.99	$157.77
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $18.79 / $29.24	Professional	26	$15.16	$18.79	$29.24
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $46.25 / $84.07 / $136.78	Professional	TC	$46.25	$84.07	$136.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $97.84 / $133.91	Professional		$78.52	$97.84	$133.91
United Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $97.13 / $137.58	Professional		$68.39	$97.13	$137.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $20.71 / $31.85	Professional	26	$16.82	$20.71	$31.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.97 / $77.30 / $118.22	Professional	TC	$51.97	$77.30	$118.22