Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $33.11 / $34.67	Facility	26	$32.36	$33.11	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $251.19	Professional		$85.11	$120.23	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.90 / $95.50	Professional	26	$21.88	$30.90	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $95.50 / $204.17	Professional	TC	$66.07	$95.50	$204.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Professional	26	$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $371.54	Professional		$186.21	$371.54	$371.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $44.67 / $60.26	Professional	26	$44.67	$44.67	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	TC	$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $44.67	Facility	26	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $338.84	Professional		$93.33	$154.88	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $38.90 / $81.28	Professional	26	$23.44	$38.90	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $128.82 / $295.12	Professional	TC	$67.61	$128.82	$295.12
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $56.23 / $67.61	Facility	26	$24.55	$56.23	$67.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $234.42	Professional		$83.18	$128.82	$234.42
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $31.62 / $74.13	Professional	26	$22.91	$31.62	$74.13
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $95.50 / $173.78	Professional	TC	$63.10	$95.50	$173.78
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $44.67	Facility	26	$6.76	$31.62	$44.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $269.15	Professional		$81.28	$120.23	$269.15
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.20 / $72.44	Professional	26	$20.89	$30.20	$72.44
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $95.50 / $269.15	Professional	TC	$61.66	$95.50	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $186.21	Professional		$97.72	$120.23	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.20 / $47.86	Professional	26	$25.70	$30.20	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $91.20 / $141.25	Professional	TC	$69.18	$91.20	$141.25