Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $37.43 / $37.43	Facility	26	$37.43	$37.43	$37.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $85.29 / $128.31	Professional		$65.88	$85.29	$128.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $34.79 / $51.26	Professional	26	$27.83	$34.79	$51.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.59 / $49.35 / $78.31	Professional	TC	$35.59	$49.35	$78.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $138.81 / $255.41	Professional		$52.17	$138.81	$255.41
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $237.54 / $237.54 / $237.54	Professional	50	$237.54	$237.54	$237.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.24 / $36.24 / $36.24	Facility	26	$36.24	$36.24	$36.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $109.04 / $215.63	Professional		$66.68	$109.04	$215.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.16 / $40.14 / $90.51	Professional	26	$26.16	$40.14	$90.51
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.04 / $127.80 / $145.44	Professional	50	$107.04	$127.80	$145.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.38 / $66.51 / $139.16	Professional	TC	$39.38	$66.51	$139.16
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $37.43	Facility	26	$26.92	$26.92	$37.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $85.29 / $130.90	Professional		$71.84	$85.29	$130.90
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $33.40 / $53.00	Professional	26	$26.92	$33.40	$53.00
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $43.13 / $47.86 / $79.63	Professional	TC	$43.13	$47.86	$79.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $44.29 / $117.82	Professional		$28.23	$44.29	$117.82
United Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $101.35 / $145.44	Professional		$73.31	$101.35	$145.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.77 / $37.36 / $53.86	Professional	26	$29.77	$37.36	$53.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.50 / $61.37 / $82.22	Professional	TC	$44.50	$61.37	$82.22