Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.90 / $15.90 / $16.69	Facility	26	$15.90	$15.90	$16.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $49.77 / $80.29	Professional		$39.97	$49.77	$80.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $14.12 / $33.54	Professional	26	$12.08	$14.12	$33.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $36.76 / $59.42	Professional	TC	$27.87	$36.76	$59.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $17.10 / $19.02	Professional	26	$10.30	$17.10	$19.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $67.65 / $79.20	Professional		$22.15	$67.65	$79.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.30 / $21.30 / $21.30	Professional	26	$21.30	$21.30	$21.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.86 / $54.86 / $54.86	Professional	TC	$54.86	$54.86	$54.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $55.94 / $102.29	Professional		$37.39	$55.94	$102.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $16.42 / $32.84	Professional	26	$10.36	$16.42	$32.84
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 $10.78 / $15.90 / $16.69	Facility	26	$10.78	$15.90	$16.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $51.46 / $81.48	Professional		$35.07	$51.46	$81.48
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $14.94 / $27.20	Professional	26	$10.78	$14.94	$27.20
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $24.29 / $36.52 / $59.42	Professional	TC	$24.29	$36.52	$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 $40.14 / $46.47 / $66.23	Professional		$40.14	$46.47	$66.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.28 / $14.98 / $23.15	Professional	26	$12.28	$14.98	$23.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.47 / $32.52 / $45.14	Professional	TC	$27.47	$32.52	$45.14