Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $128.82	Professional		$46.77	$64.57	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.91 / $77.62	Professional	26	$18.20	$22.91	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $42.66 / $79.43	Professional	TC	$26.92	$42.66	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $131.83	Professional		$85.11	$125.89	$131.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $39.81 / $53.70	Professional	26	$39.81	$39.81	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $70.79 / $70.79	Professional	TC	$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $316.23	Professional		$32.36	$53.70	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $33.11 / $104.71	Professional	26	$12.30	$33.11	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $25.70 / $123.03	Professional	TC	$15.49	$25.70	$123.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $173.78	Professional		$54.95	$67.61	$173.78
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.18 / $69.18	Professional	26	$20.42	$28.18	$69.18
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $41.69 / $100.00	Professional	TC	$31.62	$41.69	$100.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $114.82	Professional		$27.54	$36.31	$114.82
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.88 / $35.48	Professional	26	$10.72	$12.88	$35.48
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $8.71 / $19.95 / $81.28	Professional	TC	$8.71	$19.95	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $97.72	Professional		$33.88	$56.23	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $23.99 / $37.15	Professional	26	$15.49	$23.99	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $33.88 / $56.23	Professional	TC	$18.62	$33.88	$56.23