Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $62.18 / $129.47	Professional		$49.98	$62.18	$129.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $24.83 / $48.80	Professional	26	$23.48	$24.83	$48.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.59 / $37.35 / $66.62	Professional	TC	$33.59	$37.35	$66.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $13.19 / $13.19	Professional	26	$13.19	$13.19	$13.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $95.87 / $127.82	Professional		$79.18	$95.87	$127.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.14 / $43.14 / $43.14	Professional	26	$43.14	$43.14	$43.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $63.04 / $108.93	Professional		$34.42	$63.04	$108.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.27 / $26.35 / $75.47	Professional	26	$12.27	$26.35	$75.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $25.66 / $66.08	Professional	TC	$18.52	$25.66	$66.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $65.62 / $131.85	Professional		$62.17	$65.62	$131.85
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $24.82 / $26.42 / $47.43	Professional	26	$24.82	$26.42	$47.43
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $39.21 / $79.84	Professional	TC	$37.35	$39.21	$79.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $74.89 / $109.88	Professional		$34.44	$74.89	$109.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $60.82 / $97.51	Professional		$38.51	$60.82	$97.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.43 / $29.23 / $108.69	Professional	26	$17.43	$29.23	$108.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.59 / $37.44 / $55.82	Professional	TC	$21.59	$37.44	$55.82