Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $10.23 / $12.59	Facility	26	$9.77	$10.23	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $93.33	Professional		$25.12	$36.31	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $25.70	Professional	26	$7.08	$10.00	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $54.95	Professional	TC	$18.20	$25.70	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.08 / $14.13	Professional	26	$6.46	$7.08	$14.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $51.29	Professional		$33.88	$47.86	$51.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.18 / $17.78	Professional	26	$13.18	$13.18	$17.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $38.02 / $47.86	Professional	TC	$32.36	$38.02	$47.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $87.10	Professional		$25.70	$41.69	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.75 / $24.55	Professional	26	$6.92	$11.75	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $31.62 / $69.18	Professional	TC	$19.50	$31.62	$69.18
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $10.47 / $19.95	Facility	26	$8.91	$10.47	$19.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $79.43	Professional		$25.12	$36.31	$79.43
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.77 / $21.88	Professional	26	$6.76	$9.77	$21.88
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.30 / $51.29	Professional	TC	$18.62	$26.30	$51.29
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $69.18	Professional		$23.99	$30.90	$69.18
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.55 / $21.38	Professional	26	$6.03	$9.55	$21.38
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.55 / $66.07	Professional	TC	$17.78	$24.55	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $50.12	Professional		$26.92	$32.36	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.33 / $14.45	Professional	26	$7.94	$9.33	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $22.91 / $35.48	Professional	TC	$19.50	$22.91	$35.48