Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.93 / $13.93 / $17.55	Facility	26	$13.93	$13.93	$17.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $48.81 / $65.39	Professional		$35.67	$48.81	$65.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.58 / $13.93 / $31.21	Professional	26	$10.58	$13.93	$31.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $35.26 / $53.56	Professional	TC	$25.05	$35.26	$53.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $25.92 / $25.92	Professional		$25.92	$25.92	$25.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $11.25 / $11.86	Professional	26	$9.27	$11.25	$11.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $61.97 / $72.56	Professional		$17.92	$61.97	$72.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.17 / $19.17 / $19.17	Professional	26	$19.17	$19.17	$19.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.01 / $50.60 / $50.60	Professional	TC	$43.01	$50.60	$50.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $50.32 / $93.61	Professional		$33.90	$50.32	$93.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $15.34 / $29.57	Professional	26	$9.35	$15.34	$29.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $36.13 / $66.95	Professional	TC	$23.17	$36.13	$66.95
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.73 / $13.93 / $17.55	Facility	26	$9.73	$13.93	$17.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $48.03 / $73.80	Professional		$31.51	$48.03	$73.80
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $13.45 / $23.05	Professional	26	$9.73	$13.45	$23.05
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $22.17 / $33.69 / $52.89	Professional	TC	$22.17	$33.69	$52.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $33.09 / $47.38	Professional		$26.52	$33.09	$47.38
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $41.45 / $62.17	Professional		$35.72	$41.45	$62.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $13.83 / $68.59	Professional	26	$11.40	$13.83	$68.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $28.46 / $40.96	Professional	TC	$24.33	$28.46	$40.96