Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $183.31 / $258.08	Professional		$83.07	$183.31	$258.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $49.35 / $55.54	Professional	26	$25.05	$49.35	$55.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.01 / $94.95 / $202.44	Professional	TC	$58.01	$94.95	$202.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $130.62 / $181.13	Professional		$47.81	$130.62	$181.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.35 / $38.35 / $38.35	Professional	26	$38.35	$38.35	$38.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.27 / $92.27 / $92.27	Professional	TC	$92.27	$92.27	$92.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $119.83 / $243.33	Professional		$50.80	$119.83	$243.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.48 / $41.84 / $68.13	Professional	26	$14.48	$41.84	$68.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $104.83 / $185.20	Professional	TC	$36.31	$104.83	$185.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $255.47 / $322.58	Professional		$116.12	$255.47	$322.58
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $35.85 / $59.15 / $79.06	Professional	26	$35.85	$59.15	$79.06
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $76.18 / $196.31 / $232.47	Professional	TC	$76.18	$196.31	$232.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $75.37 / $146.84	Professional		$34.47	$75.37	$146.84
United Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $150.22 / $247.50	Professional		$69.08	$150.22	$247.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $42.31 / $68.23	Professional	26	$21.44	$42.31	$68.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $110.72 / $206.50	Professional	TC	$47.64	$110.72	$206.50