Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $9.57 / $12.05	Facility	26	$9.57	$9.57	$12.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $32.81 / $60.31	Professional		$26.78	$32.81	$60.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.55 / $12.99	Professional	26	$7.24	$8.55	$12.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $24.25 / $43.78	Professional	TC	$19.46	$24.25	$43.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $26.49 / $32.58	Professional		$26.49	$26.49	$32.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $10.79 / $11.91	Professional	26	$6.48	$10.79	$11.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $45.72 / $60.35	Professional		$12.45	$45.72	$60.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.32 / $13.32 / $13.32	Professional	26	$13.32	$13.32	$13.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	TC	$40.47	$40.47	$40.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $37.88 / $71.89	Professional		$25.54	$37.88	$71.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $10.34 / $20.59	Professional	26	$6.55	$10.34	$20.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.86 / $26.87 / $53.49	Professional	TC	$17.86	$26.87	$53.49
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $6.82 / $9.57 / $10.03	Facility	26	$6.82	$9.57	$10.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $36.21 / $60.31	Professional		$24.22	$36.21	$60.31
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $9.19 / $15.77	Professional	26	$6.82	$9.19	$15.77
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $26.97 / $43.14	Professional	TC	$17.39	$26.97	$43.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $33.09 / $47.38	Professional		$26.31	$33.09	$47.38
United Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $31.13 / $44.66	Professional		$25.96	$31.13	$44.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $9.36 / $13.53	Professional	26	$7.85	$9.36	$13.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.61 / $22.29 / $31.68	Professional	TC	$18.61	$22.29	$31.68