Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $117.46 / $142.97	Professional		$81.20	$117.46	$142.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $14.69 / $18.29	Professional	26	$11.85	$14.69	$18.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.45 / $102.72 / $125.25	Professional	TC	$69.45	$102.72	$125.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.17 / $127.17 / $127.17	Professional		$127.17	$127.17	$127.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.43 / $14.43 / $14.43	Professional	26	$14.43	$14.43	$14.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $197.20 / $236.64	Professional		$24.54	$197.20	$236.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.43 / $23.43 / $23.43	Professional	26	$23.43	$23.43	$23.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $104.77 / $234.77	Professional		$85.28	$104.77	$234.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $14.45 / $27.47	Professional	26	$11.06	$14.45	$27.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.37 / $91.25 / $207.30	Professional	TC	$70.37	$91.25	$207.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.03 / $121.67 / $146.93	Professional		$98.03	$121.67	$146.93
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $13.81 / $15.46 / $20.05	Professional	26	$13.81	$15.46	$20.05
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $83.72 / $106.12 / $129.87	Professional	TC	$83.72	$106.12	$129.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $135.06 / $193.01	Professional		$108.21	$135.06	$193.01
United Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $108.00 / $154.54	Professional		$86.56	$108.00	$154.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $16.12 / $20.61	Professional	26	$13.19	$16.12	$20.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.81 / $93.25 / $133.15	Professional	TC	$70.81	$93.25	$133.15