Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.04 / $82.04 / $103.38	Facility	26	$82.04	$82.04	$103.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.52 / $409.82 / $522.50	Professional		$249.52	$409.82	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.78 / $96.74 / $154.00	Professional	26	$64.78	$96.74	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.95 / $267.26 / $368.50	Professional	TC	$181.95	$267.26	$368.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.89 / $84.29 / $126.42	Professional	26	$48.89	$84.29	$126.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.18 / $326.00 / $461.86	Professional		$141.18	$326.00	$461.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.66 / $100.66 / $100.66	Professional	26	$100.66	$100.66	$100.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $490.35 / $821.82	Professional		$261.42	$490.35	$821.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.47 / $76.59 / $156.61	Professional	26	$48.47	$76.59	$156.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.51 / $352.06 / $595.19	Professional	TC	$188.51	$352.06	$595.19
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $52.68 / $82.04 / $86.15	Facility	26	$52.68	$82.04	$86.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $363.30 / $522.50	Professional		$250.00	$363.30	$522.50
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $52.68 / $82.05 / $140.00	Professional	26	$52.68	$82.05	$140.00
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $310.62 / $415.64	Professional	TC	$187.50	$310.62	$415.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $171.84 / $242.59	Professional		$35.58	$171.84	$242.59
United Facility/Professional Professional Modifier Low / Median / High Price $246.77 / $397.35 / $582.78	Professional		$246.77	$397.35	$582.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.03 / $70.72 / $111.31	Professional	26	$60.03	$70.72	$111.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.51 / $294.49 / $504.93	Professional	TC	$186.51	$294.49	$504.93