Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $81.28 / $102.33	Facility	26	$77.62	$81.28	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $741.31	Professional		$239.88	$426.58	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $120.23 / $223.87	Professional	26	$64.57	$120.23	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $302.00 / $562.34	Professional	TC	$177.83	$302.00	$562.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $125.89 / $134.90	Professional	26	$87.10	$125.89	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $363.08	Professional		$245.47	$338.84	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $100.00 / $134.90	Professional	26	$100.00	$100.00	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	TC	$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $72.44 / $102.33	Facility	26	$15.49	$72.44	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $831.76	Professional		$234.42	$446.68	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $85.11 / $186.21	Professional	26	$53.70	$85.11	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $323.59 / $691.83	Professional	TC	$169.82	$323.59	$691.83
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $87.10 / $154.88	Facility	26	$77.62	$87.10	$154.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $776.25	Professional		$251.19	$416.87	$776.25
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $97.72 / $204.17	Professional	26	$60.26	$97.72	$204.17
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $309.03 / $562.34	Professional	TC	$177.83	$309.03	$562.34
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $72.44 / $102.33	Facility	26	$15.49	$72.44	$102.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $831.76	Professional		$199.53	$380.19	$831.76
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $70.79 / $141.25	Professional	26	$48.98	$70.79	$141.25
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $295.12 / $660.69	Professional	TC	$144.54	$295.12	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $588.84	Professional		$245.47	$354.81	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $70.79 / $112.20	Professional	26	$60.26	$70.79	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $275.42 / $489.78	Professional	TC	$177.83	$275.42	$489.78