Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.23 / $106.23 / $111.55	Facility	26	$106.23	$106.23	$111.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.55 / $345.57 / $522.50	Professional		$276.55	$345.57	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.78 / $106.24 / $161.00	Professional	26	$82.78	$106.24	$161.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.88 / $239.34 / $368.50	Professional	TC	$192.88	$239.34	$368.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $80.34 / $162.96	Professional	26	$62.89	$80.34	$162.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $386.51 / $452.54	Professional		$114.96	$386.51	$452.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $129.41 / $129.41 / $129.41	Professional	26	$129.41	$129.41	$129.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.98 / $547.54 / $973.02	Professional		$315.98	$547.54	$973.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.26 / $100.55 / $202.97	Professional	26	$62.26	$100.55	$202.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.63 / $387.84 / $703.13	Professional	TC	$221.63	$387.84	$703.13
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $67.90 / $106.23 / $106.24	Facility	26	$67.90	$106.23	$106.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $294.31 / $418.48 / $596.08	Professional		$294.31	$418.48	$596.08
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $67.90 / $106.24 / $167.90	Professional	26	$67.90	$106.24	$167.90
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $203.28 / $350.58 / $490.81	Professional	TC	$203.28	$350.58	$490.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $196.97 / $304.54	Professional		$93.51	$196.97	$304.54
United Facility/Professional Professional Modifier Low / Median / High Price $307.43 / $493.55 / $693.93	Professional		$307.43	$493.55	$693.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.48 / $91.17 / $143.69	Professional	26	$78.48	$91.17	$143.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.90 / $377.54 / $560.41	Professional	TC	$205.90	$377.54	$560.41