Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $14.79 / $18.62	Facility	26	$14.79	$14.79	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $151.36	Professional		$36.31	$53.70	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.60 / $39.81	Professional	26	$10.00	$16.60	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $79.43	Professional	TC	$25.70	$37.15	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $44.67	Professional		$33.11	$33.11	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.30 / $26.92	Professional	26	$9.55	$12.30	$26.92
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $32.36 / $32.36	Professional	TC	$32.36	$32.36	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $74.13	Professional		$54.95	$69.18	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $19.50 / $26.92	Professional	26	$19.50	$19.50	$26.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $54.95 / $54.95	Professional	TC	$46.77	$54.95	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $14.13 / $20.42	Facility	26	$3.02	$14.13	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $125.89	Professional		$36.31	$57.54	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.38 / $35.48	Professional	26	$10.23	$17.38	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $45.71 / $100.00	Professional	TC	$26.30	$45.71	$100.00
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $15.14 / $28.84	Facility	26	$14.13	$15.14	$28.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $100.00	Professional		$36.31	$53.70	$100.00
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.79 / $32.36	Professional	26	$10.00	$14.79	$32.36
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $69.18	Professional	TC	$25.70	$38.02	$69.18
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $14.13 / $20.42	Facility	26	$3.02	$14.13	$20.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $100.00	Professional		$33.11	$44.67	$100.00
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $14.13 / $32.36	Professional	26	$8.71	$14.13	$32.36
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.88 / $95.50	Professional	TC	$23.99	$33.88	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $70.79	Professional		$38.90	$45.71	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $13.80 / $21.88	Professional	26	$11.75	$13.80	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $31.62 / $48.98	Professional	TC	$26.92	$31.62	$48.98