Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,226.39 / $4,144.60 / $4,316.47	Facility		$3,226.39	$4,144.60	$4,316.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.19 / $508.56 / $969.92	Professional		$349.19	$508.56	$969.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.80 / $173.90 / $271.14	Professional	26	$143.80	$173.90	$271.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $175.31 / $273.24 / $443.04	Professional	TC	$175.31	$273.24	$443.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.39 / $389.92 / $607.08	Professional		$274.39	$389.92	$607.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $274.82 / $274.82 / $274.82	Professional	26	$274.82	$274.82	$274.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $231.68 / $231.68 / $231.68	Professional	TC	$231.68	$231.68	$231.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $505.31	Professional		$326.16	$326.16	$505.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.25 / $153.56 / $241.41	Professional	26	$128.25	$153.56	$241.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $263.91	Professional	TC	$172.60	$172.60	$263.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $259.04 / $3,226.39 / $4,316.47	Facility		$259.04	$3,226.39	$4,316.47
Health Alliance Plan Facility/Professional Facility Modifier TC Low / Median / High Price $322.13 / $322.13 / $322.13	Facility	TC	$322.13	$322.13	$322.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $349.19 / $601.22 / $821.36	Professional		$349.19	$601.22	$821.36
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $164.75 / $177.80 / $285.14	Professional	26	$164.75	$177.80	$285.14
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $175.31 / $350.62 / $538.45	Professional	TC	$175.31	$350.62	$538.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.93 / $233.34 / $409.95	Professional		$167.93	$233.34	$409.95
United Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $452.27 / $726.45	Professional		$208.74	$452.27	$726.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.30 / $180.96 / $235.25	Professional	26	$111.30	$180.96	$235.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $285.58 / $462.64	Professional	TC	$97.44	$285.58	$462.64