Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.50 / $11.50 / $14.49	Facility	26	$11.50	$11.50	$14.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $33.89 / $56.88	Professional		$26.07	$33.89	$56.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.08 / $18.01	Professional	26	$8.13	$10.08	$18.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.94 / $23.89 / $40.79	Professional	TC	$17.94	$23.89	$40.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $31.20 / $31.20	Professional		$26.52	$31.20	$31.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $13.77 / $13.77	Professional	26	$7.49	$13.77	$13.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $38.25 / $52.59	Professional		$14.45	$38.25	$52.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.45 / $15.45 / $15.45	Professional	26	$15.45	$15.45	$15.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.68 / $35.68 / $35.68	Professional	TC	$35.68	$35.68	$35.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $10.79	Facility	26	$10.79	$10.79	$10.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $39.46 / $68.45	Professional		$25.90	$39.46	$68.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $12.34 / $23.77	Professional	26	$7.60	$12.34	$23.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.53 / $28.23 / $49.03	Professional	TC	$17.53	$28.23	$49.03
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.87 / $11.50 / $11.79	Facility	26	$7.87	$11.50	$11.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $34.61 / $56.88	Professional		$24.49	$34.61	$56.88
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $10.82 / $17.92	Professional	26	$7.87	$10.82	$17.92
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $16.61 / $23.79 / $38.75	Professional	TC	$16.61	$23.79	$38.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $32.80 / $45.08	Professional		$26.17	$32.80	$45.08
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $32.11 / $46.74	Professional		$27.45	$32.11	$46.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $10.48 / $15.72	Professional	26	$8.53	$10.48	$15.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.10 / $21.29 / $30.25	Professional	TC	$18.10	$21.29	$30.25