Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.34 / $12.34 / $15.56	Facility	26	$12.34	$12.34	$15.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $42.26 / $69.15	Professional		$32.25	$42.26	$69.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $10.45 / $16.09	Professional	26	$8.97	$10.45	$16.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $31.79 / $53.05	Professional	TC	$23.28	$31.79	$53.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $13.82 / $14.78	Professional	26	$8.02	$13.82	$14.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $58.19 / $82.69	Professional		$15.44	$58.19	$82.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.51 / $16.51 / $16.51	Professional	26	$16.51	$16.51	$16.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.65 / $49.00 / $49.00	Professional	TC	$41.65	$49.00	$49.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $47.25 / $87.77	Professional		$32.01	$47.25	$87.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.33 / $12.89 / $26.30	Professional	26	$8.33	$12.89	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.51 / $34.83 / $64.83	Professional	TC	$22.51	$34.83	$64.83
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.66 / $12.34 / $12.96	Facility	26	$8.66	$12.34	$12.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $44.24 / $70.31	Professional		$30.04	$44.24	$70.31
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.61 / $17.39	Professional	26	$8.66	$11.61	$17.39
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $32.61 / $51.78	Professional	TC	$21.38	$32.61	$51.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $32.80 / $45.08	Professional		$26.20	$32.80	$45.08
United Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $39.45 / $58.59	Professional		$34.14	$39.45	$58.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $11.98 / $18.51	Professional	26	$9.82	$11.98	$18.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.01 / $27.64 / $39.49	Professional	TC	$24.01	$27.64	$39.49