Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.85 / $89.85 / $113.22	Facility	26	$89.85	$89.85	$113.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.50 / $340.03 / $522.50	Professional		$272.50	$340.03	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.56 / $97.11 / $223.86	Professional	26	$70.56	$97.11	$223.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $201.63 / $250.17 / $370.63	Professional	TC	$201.63	$250.17	$370.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $92.46 / $92.46 / $92.46	Professional	26	$92.46	$92.46	$92.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $377.05 / $476.27	Professional		$103.08	$377.05	$476.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.25 / $110.25 / $110.25	Professional	26	$110.25	$110.25	$110.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $314.23 / $314.23 / $314.23	Professional	TC	$314.23	$314.23	$314.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.91 / $79.91 / $79.91	Facility	26	$79.91	$79.91	$79.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.43 / $496.31 / $808.28	Professional		$290.43	$496.31	$808.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.16 / $85.66 / $173.40	Professional	26	$53.16	$85.66	$173.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.19 / $369.44 / $650.55	Professional	TC	$217.19	$369.44	$650.55
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $57.17 / $89.85 / $91.47	Facility	26	$57.17	$89.85	$91.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $286.52 / $340.03 / $530.66	Professional		$286.52	$340.03	$530.66
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $57.17 / $89.86 / $223.86	Professional	26	$57.17	$89.86	$223.86
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $267.22 / $462.82	Professional	TC	$208.93	$267.22	$462.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $189.42 / $273.44	Professional		$61.71	$189.42	$273.44
United Facility/Professional Professional Modifier Low / Median / High Price $288.11 / $378.91 / $596.24	Professional		$288.11	$378.91	$596.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.97 / $77.09 / $113.69	Professional	26	$67.97	$77.09	$113.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.74 / $313.48 / $471.07	Professional	TC	$215.74	$313.48	$471.07