Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.35 / $31.35 / $31.35	Facility	26	$31.35	$31.35	$31.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $169.38 / $198.64	Professional		$135.53	$169.38	$198.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.97 / $141.78 / $165.05	Professional	TC	$106.97	$141.78	$165.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $250.27 / $316.13	Professional		$39.84	$250.27	$316.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $215.84 / $772.60	Professional		$112.09	$215.84	$772.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.47 / $174.06 / $657.50	Professional	TC	$93.47	$174.06	$657.50
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $26.09 / $26.09 / $31.35	Facility	26	$26.09	$26.09	$31.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $157.51 / $181.24 / $221.65	Professional		$157.51	$181.24	$221.65
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $131.51 / $147.29 / $181.88	Professional	TC	$131.51	$147.29	$181.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $154.93 / $244.97	Professional		$35.97	$154.93	$244.97
United Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $148.87 / $231.24	Professional		$112.12	$148.87	$231.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.45 / $118.30 / $170.05	Professional	TC	$80.45	$118.30	$170.05