Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.16 / $9.16 / $9.61	Facility	26	$9.16	$9.16	$9.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.33 / $42.81	Professional		$21.38	$26.33	$42.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $9.17 / $19.89	Professional	26	$6.74	$9.17	$19.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.44 / $18.44 / $30.86	Professional	TC	$14.44	$18.44	$30.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.98 / $7.21 / $9.19	Professional	26	$5.98	$7.21	$9.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $30.90 / $40.44	Professional		$10.88	$30.90	$40.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $12.25 / $12.25	Professional	26	$10.41	$12.25	$12.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.63 / $26.63 / $26.63	Professional	TC	$26.63	$26.63	$26.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $19.20 / $30.86	Professional		$8.19	$19.20	$30.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $28.56 / $51.99	Professional		$19.07	$28.56	$51.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.78 / $9.34 / $19.01	Professional	26	$5.78	$9.34	$19.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.23 / $36.89	Professional	TC	$12.88	$19.23	$36.89
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $6.02 / $9.16 / $9.61	Facility	26	$6.02	$9.16	$9.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $27.07 / $42.81	Professional		$19.20	$27.07	$42.81
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $6.02 / $9.16 / $17.20	Professional	26	$6.02	$9.16	$17.20
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $13.17 / $18.96 / $30.31	Professional	TC	$13.17	$18.96	$30.31
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 $21.37 / $25.08 / $36.81	Professional		$21.37	$25.08	$36.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $8.30 / $12.74	Professional	26	$7.06	$8.30	$12.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.24 / $16.23 / $24.36	Professional	TC	$14.24	$16.23	$24.36