Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.23 / $13.18	Facility	26	$10.00	$10.23	$13.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $83.18	Professional		$25.70	$38.90	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $25.70	Professional	26	$7.08	$10.00	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $30.20 / $61.66	Professional	TC	$19.50	$30.20	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $61.66	Professional		$44.67	$57.54	$61.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $13.80 / $18.62	Professional	26	$13.80	$13.80	$18.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $47.86 / $47.86	Professional	TC	$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $104.71	Professional		$29.51	$44.67	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.30 / $25.70	Professional	26	$7.24	$12.30	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $85.11	Professional	TC	$21.88	$36.31	$85.11
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $13.18 / $20.42	Facility	26	$7.59	$13.18	$20.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $77.62	Professional		$27.54	$41.69	$77.62
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $23.44	Professional	26	$7.08	$10.00	$23.44
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $31.62 / $58.88	Professional	TC	$20.42	$31.62	$58.88
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $83.18	Professional		$26.30	$35.48	$83.18
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $9.77 / $22.39	Professional	26	$6.31	$9.77	$22.39
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $81.28	Professional	TC	$19.95	$28.18	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $56.23	Professional		$30.20	$36.31	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.55 / $15.14	Professional	26	$8.13	$9.55	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $26.30 / $41.69	Professional	TC	$21.38	$26.30	$41.69