Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $9.77 / $12.02	Facility	26	$8.91	$9.77	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $85.11	Professional		$25.12	$37.15	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.23 / $25.12	Professional	26	$6.03	$10.23	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.12 / $48.98	Professional	TC	$17.38	$25.12	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $44.67	Professional		$26.92	$26.92	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.13 / $14.13	Professional	26	$6.31	$8.13	$14.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $53.70	Professional		$36.31	$50.12	$53.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.18 / $17.78	Professional	26	$13.18	$13.18	$17.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $40.74 / $54.95	Professional	TC	$40.74	$40.74	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $91.20	Professional		$25.70	$43.65	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.75 / $23.44	Professional	26	$6.92	$11.75	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $33.11 / $72.44	Professional	TC	$18.62	$33.11	$72.44
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $12.02 / $19.95	Facility	26	$8.91	$12.02	$19.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $74.13	Professional		$25.12	$37.15	$74.13
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.77 / $21.38	Professional	26	$6.76	$9.77	$21.38
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $26.92 / $50.12	Professional	TC	$17.78	$26.92	$50.12
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $72.44	Professional		$22.91	$32.36	$72.44
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $9.55 / $21.38	Professional	26	$5.89	$9.55	$21.38
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $69.18	Professional	TC	$16.98	$23.44	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $48.98	Professional		$26.30	$31.62	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.33 / $14.45	Professional	26	$7.76	$9.33	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.39 / $35.48	Professional	TC	$18.62	$22.39	$35.48