Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.34 / $12.34 / $12.96	Facility	26	$12.34	$12.34	$12.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $42.78 / $63.34	Professional		$33.39	$42.78	$63.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $12.34 / $16.30	Professional	26	$9.68	$12.34	$16.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.16 / $30.44 / $50.76	Professional	TC	$24.16	$30.44	$50.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.99 / $38.64	Professional		$22.39	$28.99	$38.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $13.31 / $16.26	Professional	26	$8.02	$13.31	$16.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $53.46 / $67.52	Professional		$15.44	$53.46	$67.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.51 / $16.51 / $16.51	Professional	26	$16.51	$16.51	$16.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $43.67 / $43.67	Professional	TC	$37.11	$43.67	$43.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $31.46 / $47.90	Professional		$11.11	$31.46	$47.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $50.09 / $80.68	Professional		$32.47	$50.09	$80.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $14.42 / $26.30	Professional	26	$8.35	$14.42	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.32 / $35.68 / $62.50	Professional	TC	$22.32	$35.68	$62.50
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.73 / $12.34 / $12.96	Facility	26	$9.73	$12.34	$12.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $42.78 / $67.15	Professional		$31.63	$42.78	$67.15
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $12.34 / $17.50	Professional	26	$9.73	$12.34	$17.50
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $21.90 / $30.44 / $50.30	Professional	TC	$21.90	$30.44	$50.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $33.09 / $47.38	Professional		$26.31	$33.09	$47.38
United Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $40.89 / $59.00	Professional		$34.19	$40.89	$59.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.66 / $12.85 / $18.94	Professional	26	$10.66	$12.85	$18.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.21 / $27.29 / $38.43	Professional	TC	$23.21	$27.29	$38.43