Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $9.33 / $11.48	Facility	26	$9.12	$9.33	$11.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $67.61	Professional		$19.05	$26.92	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.47 / $25.70	Professional	26	$6.03	$10.47	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $18.20 / $37.15	Professional	TC	$12.02	$18.20	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $33.11	Professional		$16.60	$19.50	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $7.08 / $12.59	Professional	26	$5.89	$7.08	$12.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $36.31 / $38.90	Professional		$19.95	$36.31	$38.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $12.30 / $16.60	Professional	26	$12.30	$12.30	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	TC	$26.92	$26.92	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $19.05 / $33.88	Professional		$8.51	$19.05	$33.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.59	Facility	26	$1.86	$8.71	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $64.57	Professional		$19.50	$30.90	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.47 / $22.39	Professional	26	$6.31	$10.47	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $22.39 / $48.98	Professional	TC	$13.49	$22.39	$48.98
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $9.55 / $17.38	Facility	26	$8.91	$9.55	$17.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $54.95	Professional		$19.50	$28.18	$54.95
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.33 / $20.89	Professional	26	$6.03	$9.33	$20.89
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $18.62 / $34.67	Professional	TC	$13.18	$18.62	$34.67
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.59	Facility	26	$1.86	$8.71	$12.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $52.48	Professional		$17.78	$23.99	$52.48
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $8.32 / $19.95	Professional	26	$5.62	$8.32	$19.95
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $17.78 / $44.67	Professional	TC	$12.02	$17.78	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $38.02	Professional		$20.89	$25.12	$38.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.32 / $12.88	Professional	26	$7.08	$8.32	$12.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $16.60 / $24.55	Professional	TC	$13.80	$16.60	$24.55