Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.60 / $58.60 / $61.53	Facility	26	$58.60	$58.60	$61.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.82 / $347.44 / $505.16	Professional		$293.82	$347.44	$505.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $58.60 / $108.63	Professional	26	$43.47	$58.60	$108.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.34 / $288.85 / $428.87	Professional	TC	$250.34	$288.85	$428.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.84 / $48.42 / $95.76	Professional	26	$39.84	$48.42	$95.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.42 / $420.57 / $492.42	Professional		$81.42	$420.57	$492.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.29 / $78.29 / $78.29	Professional	26	$78.29	$78.29	$78.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.30 / $358.22 / $829.13	Professional		$239.30	$358.22	$829.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.24 / $59.10 / $109.18	Professional	26	$39.24	$59.10	$109.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.16 / $299.12 / $715.46	Professional	TC	$203.16	$299.12	$715.46
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $39.90 / $58.60 / $59.65	Facility	26	$39.90	$58.60	$59.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $251.96 / $336.77 / $486.23	Professional		$251.96	$336.77	$486.23
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $39.90 / $55.04 / $96.79	Professional	26	$39.90	$55.04	$96.79
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $212.06 / $285.92 / $433.28	Professional	TC	$212.06	$285.92	$433.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $246.06 / $341.89	Professional		$34.19	$246.06	$341.89
United Facility/Professional Professional Modifier Low / Median / High Price $302.92 / $354.29 / $516.83	Professional		$302.92	$354.29	$516.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.04 / $56.56 / $87.57	Professional	26	$48.04	$56.56	$87.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $246.94 / $290.52 / $393.66	Professional	TC	$246.94	$290.52	$393.66