Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $61.49 / $82.20	Professional		$50.65	$61.49	$82.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.12 / $23.07 / $30.84	Professional	26	$18.12	$23.07	$30.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.57 / $35.22 / $51.36	Professional	TC	$31.57	$35.22	$51.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $78.69 / $109.12	Professional		$36.35	$78.69	$109.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $53.36 / $135.97	Professional		$28.54	$53.36	$135.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $19.45 / $47.48	Professional	26	$10.61	$19.45	$47.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.18 / $33.90 / $72.45	Professional	TC	$18.18	$33.90	$72.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $51.50 / $107.76	Professional		$44.98	$51.50	$107.76
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $15.78 / $18.12 / $40.11	Professional	26	$15.78	$18.12	$40.11
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $29.21 / $31.57 / $60.74	Professional	TC	$29.21	$31.57	$60.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $39.78 / $73.20	Professional		$28.04	$39.78	$73.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $60.90 / $105.10	Professional		$38.36	$60.90	$105.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $21.58 / $38.90	Professional	26	$13.43	$21.58	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.94 / $38.76 / $66.19	Professional	TC	$24.94	$38.76	$66.19