Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.03 / $222.74 / $358.13	Professional		$182.03	$222.74	$358.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $52.25 / $131.35	Professional	26	$31.83	$52.25	$131.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.21 / $193.00 / $696.04	Professional	TC	$143.21	$193.00	$696.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $19.19 / $51.14	Professional	26	$19.14	$19.19	$51.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $386.51 / $467.91	Professional		$60.25	$386.51	$467.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.33 / $48.33 / $64.44	Professional	26	$48.33	$48.33	$64.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $278.02 / $278.02 / $278.02	Professional	TC	$278.02	$278.02	$278.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $179.59 / $500.08	Professional		$115.55	$179.59	$500.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.23 / $41.73 / $67.55	Professional	26	$18.23	$41.73	$67.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.10 / $137.86 / $346.03	Professional	TC	$90.10	$137.86	$346.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $218.29 / $445.04	Professional		$187.67	$218.29	$445.04
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $43.62 / $87.01	Professional	26	$33.59	$43.62	$87.01
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $118.15 / $173.01 / $378.16	Professional	TC	$118.15	$173.01	$378.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $238.35 / $341.58	Professional		$35.97	$238.35	$341.58
United Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $208.96 / $452.74	Professional		$131.91	$208.96	$452.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.72 / $45.15 / $64.67	Professional	26	$27.72	$45.15	$64.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.81 / $178.50 / $392.69	Professional	TC	$102.81	$178.50	$392.69