Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $136.62 / $172.14 / $189.61	Facility	26	$136.62	$172.14	$189.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $346.89 / $425.17 / $611.38	Professional	TC	$346.89	$425.17	$611.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $695.58 / $695.58 / $695.58	Professional	TC	$695.58	$695.58	$695.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $373.58 / $614.84 / $1,920.72	Professional	TC	$373.58	$614.84	$1,920.72
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $113.02 / $136.62 / $189.61	Facility	26	$113.02	$136.62	$189.61
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $335.85 / $436.60 / $600.60	Professional	TC	$335.85	$436.60	$600.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $354.22 / $417.23 / $591.79	Professional	TC	$354.22	$417.23	$591.79