Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $107.72 / $514.12	Professional		$80.58	$107.72	$514.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.41 / $25.32 / $57.71	Professional	26	$15.41	$25.32	$57.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.28 / $81.36 / $114.80	Professional	TC	$50.28	$81.36	$114.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.67 / $24.67 / $24.67	Professional	26	$24.67	$24.67	$24.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $134.38 / $172.77	Professional		$32.13	$134.38	$172.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $23.17 / $30.89	Professional	26	$23.17	$23.17	$30.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.48 / $79.48 / $79.48	Professional	TC	$79.48	$79.48	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $73.84 / $126.25	Professional		$36.83	$73.84	$126.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.75 / $21.06 / $61.47	Professional	26	$8.75	$21.06	$61.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.45 / $34.53 / $92.83	Professional	TC	$25.45	$34.53	$92.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.41 / $89.79 / $176.73	Professional		$77.41	$89.79	$176.73
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $21.19 / $22.88 / $57.71	Professional	26	$21.19	$22.88	$57.71
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $56.22 / $63.94 / $108.69	Professional	TC	$56.22	$63.94	$108.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $64.69 / $81.31	Professional		$52.62	$64.69	$81.31
United Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $79.18 / $128.08	Professional		$54.88	$79.18	$128.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $21.83 / $32.34	Professional	26	$13.86	$21.83	$32.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.88 / $61.85 / $98.05	Professional	TC	$40.88	$61.85	$98.05