Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $112.20	Facility	26	$109.65	$109.65	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $331.13	Professional		$95.50	$151.36	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $54.95 / $117.49	Professional	TC	$33.11	$54.95	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $234.42	Professional		$186.21	$218.78	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $309.03	Professional		$117.49	$181.97	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $58.88 / $112.20	Professional	TC	$42.66	$58.88	$112.20
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $208.93 / $234.42	Facility	26	$85.11	$208.93	$234.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $288.40	Professional		$123.03	$165.96	$288.40
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $58.88 / $104.71	Professional	TC	$43.65	$58.88	$104.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $316.23	Professional		$104.71	$181.97	$316.23
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $58.88 / $114.82	Professional	TC	$40.74	$58.88	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $229.09	Professional		$138.04	$169.82	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $60.26 / $102.33	Professional	TC	$46.77	$60.26	$102.33