Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $389.05	Professional		$208.93	$257.04	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $45.71 / $131.83	Professional	26	$30.90	$45.71	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $218.78 / $478.63	Professional	TC	$173.78	$218.78	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $407.38	Professional		$323.59	$346.74	$407.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $275.42 / $275.42	Professional	TC	$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $1,122.02	Professional		$95.50	$177.83	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $45.71 / $158.49	Professional	26	$21.88	$45.71	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $138.04 / $524.81	Professional	TC	$89.13	$138.04	$524.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $602.56	Professional		$186.21	$245.47	$602.56
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $109.65	Professional	26	$33.88	$44.67	$109.65
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $177.83 / $501.19	Professional	TC	$117.49	$177.83	$501.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $398.11	Professional		$95.50	$128.82	$398.11
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $22.39 / $53.70	Professional	26	$17.38	$22.39	$53.70
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $109.65 / $346.74	Professional	TC	$74.13	$109.65	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $457.09	Professional		$128.82	$208.93	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $45.71 / $64.57	Professional	26	$27.54	$45.71	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $181.97 / $389.05	Professional	TC	$100.00	$181.97	$389.05