Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $29.37 / $45.89	Professional		$19.67	$29.37	$45.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $20.56 / $25.29	Professional	26	$16.68	$20.56	$25.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.88 / $26.54	Professional	TC	$3.02	$4.88	$26.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $37.35 / $46.69	Professional		$6.47	$37.35	$46.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.02 / $33.02 / $33.02	Professional	26	$33.02	$33.02	$33.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $23.63 / $66.09	Professional		$17.54	$23.63	$66.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.64 / $20.39 / $39.09	Professional	26	$15.64	$20.39	$39.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1.47 / $3.67 / $30.47	Professional	TC	$1.47	$3.67	$30.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $30.18 / $45.89	Professional		$24.01	$30.18	$45.89
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.35 / $21.69 / $28.21	Professional	26	$19.35	$21.69	$28.21
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $3.99 / $5.23 / $26.53	Professional	TC	$3.99	$5.23	$26.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $13.21 / $15.98	Professional		$2.77	$13.21	$15.98
United Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $31.18 / $57.71	Professional		$24.68	$31.18	$57.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $22.52 / $29.90	Professional	26	$18.48	$22.52	$29.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.84 / $5.94 / $36.56	Professional	TC	$3.84	$5.94	$36.56