Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $14.06	Facility	26	$11.16	$11.16	$14.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $37.31 / $55.96	Professional		$28.91	$37.31	$55.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $9.93 / $21.60	Professional	26	$8.46	$9.93	$21.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $27.10 / $42.57	Professional	TC	$20.39	$27.10	$42.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $19.85	Professional		$19.85	$19.85	$19.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $10.42 / $12.53	Professional	26	$7.26	$10.42	$12.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $47.31 / $55.39	Professional		$15.33	$47.31	$55.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.91 / $14.91 / $14.91	Professional	26	$14.91	$14.91	$14.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.60 / $38.35 / $38.35	Professional	TC	$32.60	$38.35	$38.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $41.09 / $71.36	Professional		$26.43	$41.09	$71.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $11.82 / $23.87	Professional	26	$7.56	$11.82	$23.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $29.14 / $52.27	Professional	TC	$17.63	$29.14	$52.27
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.87 / $11.16 / $14.06	Facility	26	$7.87	$11.16	$14.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $38.27 / $57.41	Professional		$25.54	$38.27	$57.41
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $11.16 / $19.71	Professional	26	$7.87	$11.16	$19.71
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $27.10 / $42.57	Professional	TC	$17.67	$27.10	$42.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $32.80 / $45.08	Professional		$26.17	$32.80	$45.08
United Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $33.88 / $47.21	Professional		$29.85	$33.88	$47.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.72 / $15.71	Professional	26	$9.16	$10.72	$15.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $22.73 / $32.69	Professional	TC	$19.32	$22.73	$32.69