Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.91 / $9.91 / $12.48	Facility	26	$9.91	$9.91	$12.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $44.42 / $61.92	Professional		$30.51	$44.42	$61.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $9.78 / $13.06	Professional	26	$7.73	$9.78	$13.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $30.21 / $52.88	Professional	TC	$22.26	$30.21	$52.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $33.01 / $38.83	Professional		$29.71	$33.01	$38.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $8.30 / $11.87	Professional	26	$6.47	$8.30	$11.87
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $42.96 / $42.96 / $42.96	Professional	TC	$42.96	$42.96	$42.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $54.32 / $71.70	Professional		$12.45	$54.32	$71.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $13.32 / $13.32	Professional	26	$11.32	$13.32	$13.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.01 / $50.60 / $50.60	Professional	TC	$43.01	$50.60	$50.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $35.24 / $50.63	Professional		$8.88	$35.24	$50.63
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 $29.47 / $43.51 / $85.29	Professional		$29.47	$43.51	$85.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.88 / $10.97 / $21.61	Professional	26	$6.88	$10.97	$21.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $34.71 / $66.95	Professional	TC	$21.01	$34.71	$66.95
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.27 / $9.91 / $10.40	Facility	26	$8.27	$9.91	$10.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $45.17 / $59.82	Professional		$29.13	$45.17	$59.82
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $9.91 / $14.01	Professional	26	$8.25	$9.91	$14.01
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $20.85 / $33.69 / $50.51	Professional	TC	$20.85	$33.69	$50.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $32.80 / $45.08	Professional		$26.17	$32.80	$45.08
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $37.36 / $55.85	Professional		$27.00	$37.36	$55.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $9.94 / $30.32	Professional	26	$7.99	$9.94	$30.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $28.88 / $95.00	Professional	TC	$20.23	$28.88	$95.00