Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.93 / $13.93 / $17.55	Facility	26	$13.93	$13.93	$17.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $49.55 / $75.30	Professional		$38.90	$49.55	$75.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.97 / $18.19	Professional	26	$9.41	$10.97	$18.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.33 / $36.36 / $57.10	Professional	TC	$28.33	$36.36	$57.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $49.88 / $49.88	Professional		$49.88	$49.88	$49.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $11.54 / $16.68	Professional	26	$9.03	$11.54	$16.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $60.66 / $74.22	Professional		$17.43	$60.66	$74.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $18.64 / $18.64	Professional	26	$18.64	$18.64	$18.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.82 / $44.82 / $44.82	Professional	TC	$44.82	$44.82	$44.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $54.23 / $95.73	Professional		$35.29	$54.23	$95.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $14.12 / $28.83	Professional	26	$8.27	$14.12	$28.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.82 / $41.85 / $77.80	Professional	TC	$26.82	$41.85	$77.80
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $13.93 / $17.55	Facility	26	$8.41	$13.93	$17.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $50.20 / $75.30	Professional		$35.60	$50.20	$75.30
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $13.10 / $19.61	Professional	26	$8.41	$13.10	$19.61
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $27.20 / $36.36 / $56.78	Professional	TC	$27.20	$36.36	$56.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $32.80 / $45.08	Professional		$26.31	$32.80	$45.08
United Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $46.48 / $65.51	Professional		$39.29	$46.48	$65.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $12.21 / $18.43	Professional	26	$10.11	$12.21	$18.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.64 / $34.43 / $47.50	Professional	TC	$28.64	$34.43	$47.50