Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.52 / $11.52 / $14.52	Facility	26	$11.52	$11.52	$14.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $20.86 / $31.06	Professional		$15.67	$20.86	$31.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.75 / $10.35 / $24.23	Professional	26	$8.75	$10.35	$24.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.99 / $10.11 / $15.39	Professional	TC	$6.99	$10.11	$15.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $8.09 / $13.38	Professional	26	$7.74	$8.09	$13.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $26.97 / $34.07	Professional		$14.12	$26.97	$34.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.98 / $15.98	Professional	26	$13.58	$15.98	$15.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.38 / $14.38 / $14.38	Professional	TC	$14.38	$14.38	$14.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $12.35 / $23.79	Professional		$8.82	$12.35	$23.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $29.00 / $46.20	Professional		$16.87	$29.00	$46.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.86 / $12.78 / $24.61	Professional	26	$7.86	$12.78	$24.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.23 / $13.74 / $26.68	Professional	TC	$8.23	$13.74	$26.68
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $11.52 / $12.10	Facility	26	$8.41	$11.52	$12.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $20.86 / $35.07	Professional		$17.07	$20.86	$35.07
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.20 / $24.23	Professional	26	$8.41	$11.20	$24.23
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $8.67 / $9.92 / $16.60	Professional	TC	$8.67	$9.92	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $12.14 / $100.00	Professional		$5.75	$12.14	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $23.15 / $35.15	Professional		$18.51	$23.15	$35.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $11.06 / $17.51	Professional	26	$9.18	$11.06	$17.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.23 / $10.39 / $19.05	Professional	TC	$8.23	$10.39	$19.05