Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.71 / $14.71 / $15.44	Facility	26	$14.71	$14.71	$15.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $48.35 / $78.70	Professional		$38.77	$48.35	$78.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $13.07 / $19.41	Professional	26	$11.17	$13.07	$19.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $36.76 / $59.42	Professional	TC	$27.55	$36.76	$59.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $40.00 / $45.27	Professional		$38.47	$40.00	$45.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $12.18 / $17.61	Professional	26	$9.53	$12.18	$17.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $57.05 / $87.14	Professional		$20.27	$57.05	$87.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.71 / $19.71 / $19.71	Professional	26	$19.71	$19.71	$19.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.63 / $54.86 / $54.86	Professional	TC	$46.63	$54.86	$54.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $54.32 / $100.05	Professional		$36.65	$54.32	$100.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $15.57 / $31.16	Professional	26	$9.59	$15.57	$31.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.83 / $39.59 / $72.62	Professional	TC	$25.83	$39.59	$72.62
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.99 / $14.71 / $15.08	Facility	26	$9.99	$14.71	$15.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $52.46 / $79.97	Professional		$34.28	$52.46	$79.97
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $14.61 / $23.48	Professional	26	$9.99	$14.61	$23.48
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $24.29 / $38.40 / $59.42	Professional	TC	$24.29	$38.40	$59.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $32.80 / $45.08	Professional		$26.31	$32.80	$45.08
United Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $45.33 / $66.30	Professional		$38.86	$45.33	$66.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.54 / $13.71 / $21.75	Professional	26	$11.54	$13.71	$21.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.15 / $31.21 / $44.55	Professional	TC	$27.15	$31.21	$44.55