Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.53 / $13.53 / $17.04	Facility	26	$13.53	$13.53	$17.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $59.89 / $95.85	Professional		$43.78	$59.89	$95.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $12.65 / $17.85	Professional	26	$10.27	$12.65	$17.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $46.37 / $72.16	Professional	TC	$33.15	$46.37	$72.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $8.44 / $8.44	Professional	26	$8.44	$8.44	$8.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $74.70 / $95.02	Professional		$20.32	$74.70	$95.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.11 / $18.11 / $18.11	Professional	26	$18.11	$18.11	$18.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.58 / $66.58 / $66.58	Professional	TC	$66.58	$66.58	$66.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $13.10	Facility	26	$13.10	$13.10	$13.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $61.66 / $113.38	Professional		$41.34	$61.66	$113.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $14.40 / $28.73	Professional	26	$9.13	$14.40	$28.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.48 / $47.81 / $88.20	Professional	TC	$31.48	$47.81	$88.20
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.73 / $13.53 / $17.04	Facility	26	$9.73	$13.53	$17.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $59.15 / $95.32	Professional		$39.04	$59.15	$95.32
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $13.45 / $21.01	Professional	26	$9.73	$13.45	$21.01
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $29.31 / $46.36 / $71.55	Professional	TC	$29.31	$46.36	$71.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $32.82 / $45.08	Professional		$26.52	$32.82	$45.08
United Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $50.17 / $75.31	Professional		$42.70	$50.17	$75.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $13.26 / $20.25	Professional	26	$10.74	$13.26	$20.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $37.79 / $59.49	Professional	TC	$31.62	$37.79	$59.49