Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.30 / $16.30 / $17.12	Facility	26	$16.30	$16.30	$17.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $46.25 / $73.26	Professional		$36.88	$46.25	$73.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $14.14 / $25.37	Professional	26	$11.50	$14.14	$25.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $31.64 / $54.22	Professional	TC	$25.37	$31.64	$54.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $42.41 / $42.41	Professional		$30.64	$42.41	$42.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.56 / $13.00 / $25.24	Professional	26	$10.56	$13.00	$25.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $49.85 / $72.56	Professional		$20.42	$49.85	$72.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.84 / $21.84 / $21.84	Professional	26	$21.84	$21.84	$21.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.93 / $47.93 / $47.93	Professional	TC	$47.93	$47.93	$47.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.80 / $15.80 / $15.80	Facility	26	$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $50.89 / $93.85	Professional		$33.51	$50.89	$93.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $17.18 / $34.43	Professional	26	$10.11	$17.18	$34.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.14 / $36.43 / $63.41	Professional	TC	$22.14	$36.43	$63.41
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $10.52 / $16.30 / $16.70	Facility	26	$10.52	$16.30	$16.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $47.24 / $77.45	Professional		$32.69	$47.24	$77.45
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $15.32 / $25.75	Professional	26	$10.52	$15.32	$25.75
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $22.17 / $31.93 / $54.95	Professional	TC	$22.17	$31.93	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $32.80 / $45.08	Professional		$26.31	$32.80	$45.08
United Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $42.98 / $61.12	Professional		$37.27	$42.98	$61.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $14.91 / $22.57	Professional	26	$12.04	$14.91	$22.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $28.44 / $41.03	Professional	TC	$25.23	$28.44	$41.03