Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.34 / $10.34 / $10.86	Facility	26	$10.34	$10.34	$10.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $35.97 / $79.56	Professional		$24.92	$35.97	$79.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $10.35 / $37.22	Professional	26	$7.33	$10.35	$37.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $25.62 / $38.93	Professional	TC	$17.57	$25.62	$38.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $30.55 / $30.55	Professional		$23.42	$30.55	$30.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $9.91 / $15.72	Professional	26	$6.74	$9.91	$15.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $37.45 / $52.06	Professional		$12.95	$37.45	$52.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $13.85 / $13.85	Professional	26	$11.77	$13.85	$13.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.79 / $36.22 / $36.22	Professional	TC	$30.79	$36.22	$36.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $26.10 / $39.78	Professional		$9.27	$26.10	$39.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $37.69 / $66.98	Professional		$25.03	$37.69	$66.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.27 / $10.66 / $20.94	Professional	26	$6.27	$10.66	$20.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.78 / $26.28 / $47.83	Professional	TC	$16.78	$26.28	$47.83
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $6.55 / $10.34 / $10.86	Facility	26	$6.55	$10.34	$10.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $35.97 / $57.77	Professional		$21.84	$35.97	$57.77
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $10.34 / $27.00	Professional	26	$6.55	$10.34	$27.00
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $25.62 / $38.45	Professional	TC	$15.29	$25.62	$38.45
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 $24.37 / $29.49 / $43.92	Professional		$24.37	$29.49	$43.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $9.28 / $13.93	Professional	26	$7.90	$9.28	$13.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.47 / $20.58 / $29.99	Professional	TC	$16.47	$20.58	$29.99