Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $74.34	Facility	26	$70.79	$70.79	$74.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $270.01 / $434.90	Professional		$200.73	$270.01	$434.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $70.14 / $89.20	Professional	26	$50.07	$70.14	$89.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.96 / $211.68 / $364.76	Professional	TC	$144.96	$211.68	$364.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.13 / $53.81 / $72.64	Professional	26	$42.13	$53.81	$72.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $323.82 / $673.55	Professional		$90.28	$323.82	$673.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.81 / $86.81 / $86.81	Professional	26	$86.81	$86.81	$86.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.93 / $327.69 / $526.91	Professional		$203.93	$327.69	$526.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.97 / $68.77 / $135.07	Professional	26	$40.97	$68.77	$135.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.02 / $243.88 / $419.74	Professional	TC	$152.02	$243.88	$419.74
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $45.60 / $70.79 / $72.06	Facility	26	$45.60	$70.79	$72.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $222.84 / $257.16 / $402.43	Professional		$222.84	$257.16	$402.43
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $45.60 / $67.92 / $93.84	Professional	26	$45.60	$67.92	$93.84
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $168.38 / $186.36 / $314.02	Professional	TC	$168.38	$186.36	$314.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $152.02 / $233.43	Professional		$34.95	$152.02	$233.43
United Facility/Professional Professional Modifier Low / Median / High Price $210.46 / $272.68 / $396.76	Professional		$210.46	$272.68	$396.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.33 / $61.00 / $96.22	Professional	26	$52.33	$61.00	$96.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.51 / $198.73 / $293.22	Professional	TC	$152.51	$198.73	$293.22