Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.93 / $9.93 / $10.43	Facility	26	$9.93	$9.93	$10.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $43.35 / $67.88	Professional		$29.89	$43.35	$67.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.42 / $16.67	Professional	26	$7.33	$9.42	$16.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $33.40 / $50.73	Professional	TC	$22.57	$33.40	$50.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $33.96 / $36.40	Professional		$22.33	$33.96	$36.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $7.06 / $15.80	Professional	26	$6.48	$7.06	$15.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $53.46 / $62.59	Professional		$12.45	$53.46	$62.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.32 / $13.32 / $13.32	Professional	26	$13.32	$13.32	$13.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.84 / $46.87 / $46.87	Professional	TC	$39.84	$46.87	$46.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $43.35 / $80.39	Professional		$28.39	$43.35	$80.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $10.34 / $20.59	Professional	26	$6.55	$10.34	$20.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $32.67 / $61.99	Professional	TC	$20.45	$32.67	$61.99
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $6.82 / $9.93 / $10.43	Facility	26	$6.82	$9.93	$10.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $43.35 / $66.02	Professional		$26.87	$43.35	$66.02
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $9.93 / $15.75	Professional	26	$6.82	$9.93	$15.75
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $33.40 / $50.11	Professional	TC	$20.05	$33.40	$50.11
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 $29.65 / $35.47 / $51.00	Professional		$29.65	$35.47	$51.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.36 / $14.47	Professional	26	$7.67	$9.36	$14.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.62 / $26.38 / $36.53	Professional	TC	$20.62	$26.38	$36.53