Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.93 / $9.94 / $12.52	Facility	26	$9.93	$9.94	$12.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $35.06 / $54.44	Professional		$28.03	$35.06	$54.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $8.94 / $12.99	Professional	26	$7.53	$8.94	$12.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $26.74 / $43.96	Professional	TC	$20.39	$26.74	$43.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $31.50 / $31.50	Professional		$31.50	$31.50	$31.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $11.21 / $11.91	Professional	26	$6.48	$11.21	$11.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $43.03 / $53.73	Professional		$12.45	$43.03	$53.73
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 $32.60 / $38.35 / $38.35	Professional	TC	$32.60	$38.35	$38.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $39.57 / $69.05	Professional		$26.51	$39.57	$69.05
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 $19.19 / $28.23 / $52.04	Professional	TC	$19.19	$28.23	$52.04
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 $25.28 / $34.93 / $57.80	Professional		$25.28	$34.93	$57.80
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $9.36 / $14.91	Professional	26	$6.82	$9.36	$14.91
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $18.47 / $26.73 / $43.96	Professional	TC	$18.47	$26.73	$43.96
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 $27.45 / $32.51 / $47.36	Professional		$27.45	$32.51	$47.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.19 / $13.53	Professional	26	$7.67	$9.19	$13.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $23.00 / $32.84	Professional	TC	$19.55	$23.00	$32.84