Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.47 / $39.47 / $49.74	Facility	26	$39.47	$39.47	$49.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $88.55 / $134.96	Professional		$74.70	$88.55	$134.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.88 / $35.77 / $78.64	Professional	26	$29.88	$35.77	$78.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.21 / $52.98 / $83.76	Professional	TC	$44.21	$52.98	$83.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.71 / $47.30 / $62.68	Professional	26	$25.71	$47.30	$62.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $103.27 / $135.15	Professional		$49.30	$103.27	$135.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.82 / $52.73 / $52.73	Professional	26	$44.82	$52.73	$52.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $98.56 / $175.50	Professional		$63.46	$98.56	$175.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $40.84 / $81.53	Professional	26	$26.35	$40.84	$81.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.67 / $58.37 / $104.56	Professional	TC	$39.67	$58.37	$104.56
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $27.55 / $39.47 / $41.45	Facility	26	$27.55	$39.47	$41.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $88.52 / $128.99	Professional		$63.77	$88.52	$128.99
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $27.55 / $37.00 / $63.06	Professional	26	$27.55	$37.00	$63.06
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $36.22 / $51.37 / $79.01	Professional	TC	$36.22	$51.37	$79.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $42.89 / $114.10	Professional		$28.58	$42.89	$114.10
United Facility/Professional Professional Modifier Low / Median / High Price $74.22 / $87.29 / $129.82	Professional		$74.22	$87.29	$129.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $38.33 / $57.37	Professional	26	$31.62	$38.33	$57.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $48.53 / $72.45	Professional	TC	$41.69	$48.53	$72.45