Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $588.84	Professional		$186.21	$263.03	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $138.04	Professional	26	$51.29	$66.07	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $190.55 / $380.19	Professional	TC	$131.83	$190.55	$380.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $52.48 / $85.11	Professional	26	$45.71	$52.48	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $316.23	Professional		$239.88	$295.12	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $95.50 / $128.82	Professional	26	$95.50	$95.50	$128.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $67.61 / $97.72	Facility	26	$14.45	$67.61	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $691.83	Professional		$204.17	$371.54	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $83.18 / $173.78	Professional	26	$50.12	$83.18	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $269.15 / $512.86	Professional	TC	$144.54	$269.15	$512.86
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $123.03 / $144.54	Facility	26	$52.48	$123.03	$144.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $575.44	Professional		$204.17	$295.12	$575.44
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $138.04	Professional	26	$51.29	$69.18	$138.04
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $229.09 / $426.58	Professional	TC	$141.25	$229.09	$426.58
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $67.61 / $97.72	Facility	26	$14.45	$67.61	$97.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $676.08	Professional		$169.82	$288.40	$676.08
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $66.07 / $131.83	Professional	26	$46.77	$66.07	$131.83
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $208.93 / $512.86	Professional	TC	$117.49	$208.93	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $489.78	Professional		$213.80	$309.03	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $66.07 / $104.71	Professional	26	$56.23	$66.07	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $229.09 / $380.19	Professional	TC	$151.36	$229.09	$380.19