Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.65 / $68.65 / $68.65	Facility	26	$68.65	$68.65	$68.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $185.85 / $296.56	Professional		$151.71	$185.85	$296.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $65.36 / $90.52	Professional	26	$53.70	$65.36	$90.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.29 / $117.20 / $206.54	Professional	TC	$96.29	$117.20	$206.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $436.73 / $524.08	Professional		$99.07	$436.73	$524.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.14 / $92.14 / $92.14	Professional	26	$92.14	$92.14	$92.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.70 / $66.70 / $66.70	Facility	26	$66.70	$66.70	$66.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.39 / $375.83 / $943.96	Professional		$267.39	$375.83	$943.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.63 / $70.70 / $168.70	Professional	26	$56.63	$70.70	$168.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.00 / $308.99 / $730.48	Professional	TC	$206.00	$308.99	$730.48
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $44.92 / $44.92 / $68.65	Facility	26	$44.92	$44.92	$68.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $255.51 / $427.84	Professional		$158.44	$255.51	$427.84
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $44.92 / $59.07 / $96.88	Professional	26	$44.92	$59.07	$96.88
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $102.06 / $210.59 / $336.40	Professional	TC	$102.06	$210.59	$336.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $105.45 / $192.86	Professional		$61.90	$105.45	$192.86
United Facility/Professional Professional Modifier Low / Median / High Price $276.25 / $349.75 / $513.08	Professional		$276.25	$349.75	$513.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.87 / $67.72 / $98.97	Professional	26	$54.87	$67.72	$98.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.01 / $281.86 / $414.11	Professional	TC	$226.01	$281.86	$414.11