Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $283.24 / $613.71	Professional		$178.17	$283.24	$613.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.82 / $113.42 / $151.62	Professional	26	$92.82	$113.42	$151.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.35 / $98.46 / $131.63	Professional	TC	$85.35	$98.46	$131.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.79 / $334.94 / $392.16	Professional		$175.79	$334.94	$392.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $212.51 / $379.69	Professional		$108.93	$212.51	$379.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.06 / $122.91 / $403.00	Professional	26	$53.06	$122.91	$403.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.83 / $67.28 / $161.94	Professional	TC	$48.83	$67.28	$161.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $228.77 / $266.64 / $430.94	Professional		$228.77	$266.64	$430.94
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $125.54 / $125.54 / $201.00	Professional	26	$125.54	$125.54	$201.00
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $114.41 / $141.10 / $185.02	Professional	TC	$114.41	$141.10	$185.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $146.46 / $250.42	Professional		$110.30	$146.46	$250.42
United Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $257.82 / $338.03	Professional		$144.22	$257.82	$338.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.34 / $131.25 / $187.45	Professional	26	$80.34	$131.25	$187.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.88 / $126.84 / $170.55	Professional	TC	$63.88	$126.84	$170.55