Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $108.86 / $235.96	Professional		$95.12	$108.86	$235.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.22 / $30.21 / $51.69	Professional	26	$25.22	$30.21	$51.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.90 / $78.65 / $184.26	Professional	TC	$69.90	$78.65	$184.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $185.45 / $217.13	Professional		$51.77	$185.45	$217.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.73 / $52.73 / $52.73	Professional	26	$52.73	$52.73	$52.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $65.11 / $199.93	Professional		$41.61	$65.11	$199.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $23.17 / $56.32	Professional	26	$14.14	$23.17	$56.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.47 / $46.01 / $132.30	Professional	TC	$27.47	$46.01	$132.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $71.84 / $213.99	Professional		$54.79	$71.84	$213.99
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $18.70 / $22.69 / $55.00	Professional	26	$18.70	$22.69	$55.00
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $36.08 / $41.85 / $149.54	Professional	TC	$36.08	$41.85	$149.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $107.32 / $147.02	Professional		$34.47	$107.32	$147.02
United Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $76.90 / $151.54	Professional		$47.74	$76.90	$151.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.89 / $26.29 / $47.49	Professional	26	$15.89	$26.29	$47.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.49 / $49.59 / $107.44	Professional	TC	$31.49	$49.59	$107.44