Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $41.69	Professional		$19.95	$25.70	$41.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.89 / $25.70	Professional	26	$16.98	$20.89	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $22.91	Professional	TC	$3.02	$3.98	$22.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $37.15 / $40.74	Professional		$6.46	$37.15	$40.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Professional	26	$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $107.15	Professional		$17.38	$25.12	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $20.89 / $89.13	Professional	26	$15.49	$20.89	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1.48 / $3.80 / $17.38	Professional	TC	$1.48	$3.80	$17.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $46.77	Professional		$22.91	$28.84	$46.77
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.39 / $28.84	Professional	26	$19.05	$22.39	$28.84
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $23.99	Professional	TC	$3.02	$3.98	$23.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.44 / $89.13	Professional		$17.38	$23.44	$89.13
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $18.20 / $74.13	Professional	26	$14.79	$18.20	$74.13
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $1.12 / $3.39 / $16.22	Professional	TC	$1.12	$3.39	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $60.26	Professional		$23.44	$32.36	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.39 / $29.51	Professional	26	$18.20	$22.39	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $5.50 / $36.31	Professional	TC	$3.72	$5.50	$36.31