Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $59.26 / $140.41	Professional		$47.46	$59.26	$140.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.85 / $23.48 / $62.84	Professional	26	$20.85	$23.48	$62.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $43.79 / $100.89	Professional	TC	$26.60	$43.79	$100.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $91.51 / $138.47	Professional		$37.35	$91.51	$138.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.95 / $39.95 / $39.95	Professional	26	$39.95	$39.95	$39.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.91 / $69.91 / $69.91	Professional	TC	$69.91	$69.91	$69.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $52.03 / $133.25	Professional		$34.00	$52.03	$133.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.38 / $23.38 / $106.77	Professional	26	$11.38	$23.38	$106.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.52 / $27.53 / $77.95	Professional	TC	$17.52	$27.53	$77.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $67.29 / $135.00	Professional		$54.17	$67.29	$135.00
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $23.47 / $24.43 / $42.00	Professional	26	$23.47	$24.43	$42.00
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $30.69 / $41.45 / $87.59	Professional	TC	$30.69	$41.45	$87.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $74.89 / $109.88	Professional		$34.47	$74.89	$109.88
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $50.45 / $101.56	Professional		$32.65	$50.45	$101.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.64 / $24.51 / $43.81	Professional	26	$15.64	$24.51	$43.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.02 / $31.38 / $59.11	Professional	TC	$17.02	$31.38	$59.11