Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $60.48 / $68.75	Professional		$47.46	$60.48	$68.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.93 / $23.19 / $24.10	Professional	26	$18.93	$23.19	$24.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $41.55 / $45.56	Professional	TC	$27.21	$41.55	$45.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $125.50 / $139.59	Professional		$36.85	$125.50	$139.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $39.40 / $39.40	Professional	26	$39.40	$39.40	$39.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $53.26 / $129.76	Professional		$32.68	$53.26	$129.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $23.07 / $105.34	Professional	26	$11.22	$23.07	$105.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.37 / $28.42 / $80.98	Professional	TC	$15.37	$28.42	$80.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $60.48 / $127.10	Professional		$55.48	$60.48	$127.10
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $23.15 / $23.19 / $40.98	Professional	26	$23.15	$23.19	$40.98
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $32.33 / $34.90 / $71.56	Professional	TC	$32.33	$34.90	$71.56
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 $33.47 / $53.84 / $103.24	Professional		$33.47	$53.84	$103.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.34 / $24.06 / $36.89	Professional	26	$15.34	$24.06	$36.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.60 / $30.84 / $60.62	Professional	TC	$18.60	$30.84	$60.62