Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.65 / $50.65 / $50.65	Facility	26	$50.65	$50.65	$50.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.51 / $234.66 / $234.66	Professional		$183.51	$234.66	$234.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.83 / $184.01 / $184.01	Professional	TC	$144.83	$184.01	$184.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $289.52 / $338.99	Professional		$63.74	$289.52	$338.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.74 / $360.00 / $495.11	Professional		$195.74	$360.00	$495.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $150.09 / $284.89 / $421.28	Professional	TC	$150.09	$284.89	$421.28
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $35.52 / $35.52 / $50.65	Facility	26	$35.52	$35.52	$50.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $219.50 / $311.20	Professional		$192.80	$219.50	$311.20
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $157.27 / $171.55 / $276.02	Professional	TC	$157.27	$171.55	$276.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $169.62 / $227.84	Professional		$33.83	$169.62	$227.84
United Facility/Professional Professional Modifier Low / Median / High Price $214.08 / $252.97 / $348.67	Professional		$214.08	$252.97	$348.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $171.10 / $203.21 / $286.74	Professional	TC	$171.10	$203.21	$286.74