Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $123.73 / $143.88	Professional		$82.36	$123.73	$143.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.29 / $80.70 / $134.38	Professional	26	$71.29	$80.70	$134.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.69 / $52.43 / $60.81	Professional	TC	$24.69	$52.43	$60.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.77 / $83.77 / $83.77	Professional	26	$83.77	$83.77	$83.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $181.95 / $192.75	Professional		$122.06	$181.95	$192.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.06 / $103.06 / $137.41	Professional	26	$103.06	$103.06	$137.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.95 / $35.95 / $35.95	Professional	TC	$35.95	$35.95	$35.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $129.69 / $262.27	Professional		$53.16	$129.69	$262.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.01 / $79.09 / $183.56	Professional	26	$39.01	$79.09	$183.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.86 / $35.54 / $50.61	Professional	TC	$12.86	$35.54	$50.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.71 / $133.11 / $195.00	Professional		$112.71	$133.11	$195.00
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $79.19 / $90.67 / $193.24	Professional	26	$79.19	$90.67	$193.24
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $31.93 / $53.93 / $71.62	Professional	TC	$31.93	$53.93	$71.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $98.68 / $142.99	Professional		$29.53	$98.68	$142.99
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $126.62 / $184.49	Professional		$70.59	$126.62	$184.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.90 / $83.93 / $127.33	Professional	26	$53.90	$83.93	$127.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $35.47 / $62.68	Professional	TC	$16.02	$35.47	$62.68