Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.32 / $18.32 / $19.23	Facility	26	$18.32	$18.32	$19.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $58.30 / $87.85	Professional		$45.98	$58.30	$87.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.82 / $26.05	Professional	26	$13.58	$15.82	$26.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.04 / $41.56 / $70.78	Professional	TC	$33.04	$41.56	$70.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $95.66 / $95.66	Professional		$50.96	$95.66	$95.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $14.65 / $20.68	Professional	26	$11.96	$14.65	$20.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $59.15 / $93.82	Professional		$22.91	$59.15	$93.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.50 / $24.50 / $24.50	Professional	26	$24.50	$24.50	$24.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.25 / $59.12 / $59.12	Professional	TC	$50.25	$59.12	$59.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $17.71 / $17.71	Facility	26	$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $63.76 / $112.11	Professional		$42.65	$63.76	$112.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $19.44 / $37.70	Professional	26	$11.90	$19.44	$37.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.54 / $42.44 / $82.89	Professional	TC	$29.54	$42.44	$82.89
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.37 / $18.32 / $18.82	Facility	26	$12.37	$18.32	$18.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $59.89 / $89.84	Professional		$42.48	$59.89	$89.84
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $18.32 / $27.49	Professional	26	$12.37	$18.32	$27.49
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $30.11 / $41.56 / $69.54	Professional	TC	$30.11	$41.56	$69.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $32.82 / $45.08	Professional		$26.31	$32.82	$45.08
United Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $54.50 / $79.83	Professional		$46.49	$54.50	$79.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $17.16 / $26.57	Professional	26	$14.11	$17.16	$26.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.54 / $36.63 / $53.06	Professional	TC	$31.54	$36.63	$53.06