Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.67 / $65.67 / $65.67	Facility	26	$65.67	$65.67	$65.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.66 / $395.96 / $585.79	Professional		$298.66	$395.96	$585.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.84 / $341.44 / $508.70	Professional	TC	$249.84	$341.44	$508.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $622.97 / $747.56	Professional		$82.66	$622.97	$747.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.67 / $607.05 / $1,831.51	Professional		$279.67	$607.05	$1,831.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $240.63 / $523.25 / $1,595.56	Professional	TC	$240.63	$523.25	$1,595.56
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $53.02 / $53.02 / $65.67	Facility	26	$53.02	$53.02	$65.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $316.31 / $431.85 / $585.79	Professional		$316.31	$431.85	$585.79
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $369.47 / $508.70	Professional	TC	$264.98	$369.47	$508.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $338.73 / $520.98	Professional		$61.87	$338.73	$520.98
United Facility/Professional Professional Modifier Low / Median / High Price $235.19 / $380.22 / $582.95	Professional		$235.19	$380.22	$582.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.25 / $323.02 / $487.71	Professional	TC	$179.25	$323.02	$487.71