Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.11 / $58.11 / $61.02	Facility	26	$58.11	$58.11	$61.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $177.09 / $267.51	Professional		$109.45	$177.09	$267.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $58.12 / $91.08	Professional	26	$31.76	$58.12	$91.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $118.98 / $193.09	Professional	TC	$79.54	$118.98	$193.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $97.04 / $97.04	Professional		$97.04	$97.04	$97.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.43 / $47.76 / $62.09	Professional	26	$37.43	$47.76	$62.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $180.07 / $270.11	Professional		$72.20	$180.07	$270.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.65 / $77.23 / $77.23	Professional	26	$65.65	$77.23	$77.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $55.98 / $55.98	Facility	26	$55.98	$55.98	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $183.36 / $334.43	Professional		$113.10	$183.36	$334.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.60 / $49.48 / $121.23	Professional	26	$31.60	$49.48	$121.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.80 / $135.76 / $271.18	Professional	TC	$75.80	$135.76	$271.18
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $27.00 / $58.11 / $61.02	Facility	26	$27.00	$58.11	$61.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $175.10 / $267.51	Professional		$124.85	$175.10	$267.51
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $58.11 / $90.00	Professional	26	$27.00	$58.11	$90.00
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $94.56 / $118.98 / $193.09	Professional	TC	$94.56	$118.98	$193.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $108.90 / $159.69	Professional		$34.95	$108.90	$159.69
United Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $155.51 / $233.90	Professional		$124.53	$155.51	$233.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $43.54 / $63.66	Professional	26	$33.22	$43.54	$63.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.04 / $113.93 / $172.72	Professional	TC	$88.04	$113.93	$172.72