Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.55 / $110.55 / $139.29	Facility	26	$110.55	$110.55	$139.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $169.96 / $236.17	Professional		$126.68	$169.96	$236.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.23 / $59.41 / $92.77	Professional	TC	$44.23	$59.41	$92.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $184.55 / $293.11	Professional		$80.18	$184.55	$293.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.59 / $191.78 / $304.99	Professional		$119.59	$191.78	$304.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.78 / $64.04 / $114.16	Professional	TC	$42.78	$64.04	$114.16
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $78.92 / $78.92 / $110.55	Facility	26	$78.92	$78.92	$110.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $122.26 / $143.13 / $233.63	Professional		$122.26	$143.13	$233.63
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $43.34 / $54.32 / $88.09	Professional	TC	$43.34	$54.32	$88.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $100.04 / $144.99	Professional		$59.64	$100.04	$144.99
United Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $169.06 / $232.45	Professional		$146.00	$169.06	$232.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.08 / $60.75 / $85.43	Professional	TC	$50.08	$60.75	$85.43