Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $91.20	Professional		$47.86	$57.54	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $58.88	Professional	26	$16.98	$19.95	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $36.31 / $56.23	Professional	TC	$30.90	$36.31	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $102.33	Professional		$58.88	$97.72	$102.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $48.98 / $48.98	Professional	TC	$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $53.70 / $263.03	Professional		$28.18	$53.70	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $21.38 / $93.33	Professional	26	$10.72	$21.38	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.88 / $93.33	Professional	TC	$18.20	$33.88	$93.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $93.33	Professional		$44.67	$58.88	$93.33
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $35.48	Professional	26	$15.85	$20.89	$35.48
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $38.02 / $56.23	Professional	TC	$29.51	$38.02	$56.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $89.13	Professional		$28.18	$33.88	$89.13
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.02 / $32.36	Professional	26	$10.47	$12.02	$32.36
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $21.88 / $57.54	Professional	TC	$17.78	$21.88	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $97.72	Professional		$38.02	$60.26	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $22.39 / $38.90	Professional	26	$13.49	$22.39	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.90 / $66.07	Professional	TC	$25.12	$38.90	$66.07