Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.72 / $12.72 / $16.02	Facility	26	$12.72	$12.72	$16.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $46.85 / $74.03	Professional		$36.51	$46.85	$74.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $11.54 / $18.21	Professional	26	$9.65	$11.54	$18.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.53 / $36.57 / $57.59	Professional	TC	$26.53	$36.57	$57.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $32.03 / $32.03	Professional		$32.03	$32.03	$32.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $10.56 / $23.69	Professional	26	$8.26	$10.56	$23.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $57.72 / $69.87	Professional		$15.93	$57.72	$69.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.04 / $17.04 / $17.04	Professional	26	$17.04	$17.04	$17.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $40.74 / $47.93	Professional	TC	$40.74	$40.74	$47.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $34.53 / $51.69	Professional		$11.45	$34.53	$51.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $54.51 / $87.06	Professional		$34.89	$54.51	$87.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.64 / $13.58 / $26.70	Professional	26	$8.64	$13.58	$26.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.86 / $40.47 / $72.13	Professional	TC	$25.86	$40.47	$72.13
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.86 / $12.72 / $13.04	Facility	26	$9.86	$12.72	$13.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $46.27 / $72.81	Professional		$35.74	$46.27	$72.81
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $11.96 / $19.92	Professional	26	$9.86	$11.96	$19.92
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $33.90 / $56.30	Professional	TC	$25.88	$33.90	$56.30
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 $38.06 / $44.86 / $70.50	Professional		$38.06	$44.86	$70.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $12.52 / $18.51	Professional	26	$10.11	$12.52	$18.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.55 / $33.24 / $49.27	Professional	TC	$26.55	$33.24	$49.27