Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $16.22 / $20.42	Facility	26	$16.22	$16.22	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $112.20	Professional		$33.88	$48.98	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $44.67	Professional	26	$10.96	$18.20	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $67.61	Professional	TC	$22.91	$32.36	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $35.48	Professional		$30.90	$30.90	$35.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $19.50 / $29.51	Professional	26	$11.22	$19.50	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $69.18	Professional		$44.67	$64.57	$69.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $29.51	Professional	26	$21.88	$21.88	$29.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $47.86 / $47.86	Professional	TC	$40.74	$47.86	$47.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.39 / $15.85 / $22.39	Facility	26	$3.39	$15.85	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $117.49	Professional		$33.88	$53.70	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.62 / $39.81	Professional	26	$10.96	$18.62	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $39.81 / $87.10	Professional	TC	$23.44	$39.81	$87.10
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $16.98 / $30.90	Facility	26	$15.85	$16.98	$30.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $97.72	Professional		$33.88	$50.12	$97.72
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.22 / $37.15	Professional	26	$10.96	$16.22	$37.15
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $61.66	Professional	TC	$22.91	$33.11	$61.66
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $3.39 / $15.85 / $22.39	Facility	26	$3.39	$15.85	$22.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $93.33	Professional		$30.20	$41.69	$93.33
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.14 / $36.31	Professional	26	$9.77	$15.14	$36.31
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $30.20 / $81.28	Professional	TC	$20.42	$30.20	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $67.61	Professional		$37.15	$43.65	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $14.79 / $22.91	Professional	26	$12.30	$14.79	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.18 / $44.67	Professional	TC	$23.99	$28.18	$44.67