Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.06 / $69.06 / $72.53	Facility	26	$69.06	$69.06	$72.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $316.74 / $531.45	Professional		$184.51	$316.74	$531.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.51 / $69.08 / $168.01	Professional	26	$54.51	$69.08	$168.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $130.00 / $225.45 / $448.11	Professional	TC	$130.00	$225.45	$448.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $140.51 / $151.63	Professional		$140.51	$140.51	$151.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.11 / $52.52 / $75.80	Professional	26	$41.11	$52.52	$75.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $259.72 / $369.08	Professional		$75.22	$259.72	$369.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.68 / $84.68 / $84.68	Professional	26	$84.68	$84.68	$84.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.83 / $347.46 / $651.65	Professional		$228.83	$347.46	$651.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.80 / $75.09 / $144.66	Professional	26	$44.80	$75.09	$144.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.50 / $254.82 / $441.54	Professional	TC	$172.50	$254.82	$441.54
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $54.00 / $69.06 / $72.53	Facility	26	$54.00	$69.06	$72.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $205.34 / $274.91 / $409.53	Professional		$205.34	$274.91	$409.53
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $54.00 / $69.08 / $167.61	Professional	26	$54.00	$69.08	$167.61
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $149.83 / $220.91 / $339.73	Professional	TC	$149.83	$220.91	$339.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $140.30 / $200.88	Professional		$34.95	$140.30	$200.88
United Facility/Professional Professional Modifier Low / Median / High Price $209.19 / $300.06 / $454.00	Professional		$209.19	$300.06	$454.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.18 / $69.18 / $101.40	Professional	26	$56.18	$69.18	$101.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.85 / $238.18 / $320.33	Professional	TC	$153.85	$238.18	$320.33