Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.69 / $370.21 / $433.12	Professional		$307.69	$370.21	$433.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $44.03 / $46.87	Professional	26	$36.40	$44.03	$46.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $271.29 / $326.18 / $386.24	Professional	TC	$271.29	$326.18	$386.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.32 / $389.32 / $389.32	Professional		$389.32	$389.32	$389.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.79 / $59.79 / $59.79	Professional	26	$59.79	$59.79	$59.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.73 / $635.82 / $817.48	Professional		$485.73	$635.82	$817.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.09 / $75.09 / $75.09	Professional	26	$75.09	$75.09	$75.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $429.41 / $429.41 / $429.41	Professional	TC	$429.41	$429.41	$429.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.10 / $373.54 / $1,013.40	Professional		$190.10	$373.54	$1,013.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $44.47 / $114.50	Professional	26	$21.35	$44.47	$114.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.75 / $329.07 / $584.40	Professional	TC	$168.75	$329.07	$584.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $371.40 / $393.43 / $674.97	Professional		$371.40	$393.43	$674.97
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $44.91 / $78.18	Professional	26	$44.03	$44.91	$78.18
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $326.18 / $348.51 / $610.82	Professional	TC	$326.18	$348.51	$610.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $356.49 / $459.69	Professional		$34.44	$356.49	$459.69
United Facility/Professional Professional Modifier Low / Median / High Price $251.26 / $401.74 / $665.25	Professional		$251.26	$401.74	$665.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $50.13 / $71.25	Professional	26	$30.53	$50.13	$71.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.74 / $350.24 / $559.30	Professional	TC	$210.74	$350.24	$559.30