Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.26 / $526.38 / $631.33	Professional		$405.26	$526.38	$631.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.70 / $46.29 / $53.11	Professional	26	$40.70	$46.29	$53.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $361.00 / $400.67 / $473.27	Professional	TC	$361.00	$400.67	$473.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $793.35 / $928.90	Professional		$88.37	$793.35	$928.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.51 / $67.51 / $90.01	Professional	26	$67.51	$67.51	$90.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $602.37 / $602.37 / $803.16	Professional	TC	$602.37	$602.37	$803.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.30 / $459.16 / $1,326.02	Professional		$262.30	$459.16	$1,326.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.57 / $46.36 / $135.61	Professional	26	$25.57	$46.36	$135.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.73 / $382.95 / $846.65	Professional	TC	$236.73	$382.95	$846.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $456.77 / $526.37 / $980.13	Professional		$456.77	$526.37	$980.13
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $50.47 / $52.33 / $93.55	Professional	26	$50.47	$52.33	$93.55
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $406.30 / $421.65 / $818.83	Professional	TC	$406.30	$421.65	$818.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $493.50 / $645.84	Professional		$34.60	$493.50	$645.84
United Facility/Professional Professional Modifier Low / Median / High Price $303.27 / $476.01 / $825.08	Professional		$303.27	$476.01	$825.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $56.44 / $76.56	Professional	26	$35.11	$56.44	$76.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $274.14 / $421.89 / $740.70	Professional	TC	$274.14	$421.89	$740.70