Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.70 / $74.72 / $94.14	Facility	26	$74.70	$74.72	$94.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $269.38 / $451.52	Professional		$171.00	$269.38	$451.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $73.97 / $135.22	Professional	26	$52.78	$73.97	$135.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $213.98 / $377.54	Professional	TC	$119.70	$213.98	$377.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.41 / $73.86 / $76.88	Professional	26	$48.41	$73.86	$76.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $245.06 / $322.45	Professional		$85.66	$245.06	$322.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.61 / $91.61 / $91.61	Professional	26	$91.61	$91.61	$91.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.34 / $66.34 / $66.34	Facility	26	$66.34	$66.34	$66.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.30 / $345.04 / $541.12	Professional		$200.30	$345.04	$541.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.37 / $69.87 / $142.66	Professional	26	$44.37	$69.87	$142.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.41 / $240.56 / $404.61	Professional	TC	$141.41	$240.56	$404.61
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $47.71 / $74.70 / $94.14	Facility	26	$47.71	$74.70	$94.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $229.46 / $401.66	Professional		$187.02	$229.46	$401.66
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $47.71 / $68.34 / $112.50	Professional	26	$47.71	$68.34	$112.50
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $124.89 / $181.75 / $319.45	Professional	TC	$124.89	$181.75	$319.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $116.15 / $192.46	Professional		$35.58	$116.15	$192.46
United Facility/Professional Professional Modifier Low / Median / High Price $185.54 / $272.06 / $399.88	Professional		$185.54	$272.06	$399.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.70 / $63.95 / $101.39	Professional	26	$54.70	$63.95	$101.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.81 / $188.82 / $297.26	Professional	TC	$125.81	$188.82	$297.26