Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.34 / $119.34 / $119.34	Facility	26	$119.34	$119.34	$119.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.27 / $1,076.99 / $1,076.99	Professional		$697.27	$1,076.99	$1,076.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $604.90 / $957.66 / $957.66	Professional	TC	$604.90	$957.66	$957.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.38 / $1,396.95 / $1,562.01	Professional		$148.38	$1,396.95	$1,562.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.01 / $1,163.66 / $2,220.13	Professional		$660.01	$1,163.66	$2,220.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $502.58 / $869.49 / $2,208.92	Professional	TC	$502.58	$869.49	$2,208.92
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $94.26 / $94.26 / $119.34	Facility	26	$94.26	$94.26	$119.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $556.40 / $838.10 / $1,307.40	Professional		$556.40	$838.10	$1,307.40
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $462.14 / $743.68 / $1,247.34	Professional	TC	$462.14	$743.68	$1,247.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $769.84 / $1,037.19	Professional		$92.80	$769.84	$1,037.19
United Facility/Professional Professional Modifier Low / Median / High Price $592.33 / $882.59 / $1,233.21	Professional		$592.33	$882.59	$1,233.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $497.47 / $760.05 / $1,067.51	Professional	TC	$497.47	$760.05	$1,067.51