Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.96 / $17.96 / $22.62	Facility	26	$17.96	$17.96	$22.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $55.15 / $87.24	Professional		$37.25	$55.15	$87.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $17.96 / $39.14	Professional	26	$13.58	$17.96	$39.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.27 / $41.56 / $63.64	Professional	TC	$23.27	$41.56	$63.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $12.17 / $14.13	Professional	26	$11.16	$12.17	$14.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $53.11 / $74.09	Professional		$22.41	$53.11	$74.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.37 / $23.97 / $23.97	Professional	26	$20.37	$23.97	$23.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.08 / $42.08 / $42.08	Professional	TC	$42.08	$42.08	$42.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $61.96 / $119.89	Professional		$32.67	$61.96	$119.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $18.97 / $36.96	Professional	26	$11.34	$18.97	$36.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.86 / $37.11 / $71.45	Professional	TC	$19.86	$37.11	$71.45
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.11 / $17.96 / $22.62	Facility	26	$12.11	$17.96	$22.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $48.83 / $76.59	Professional		$40.36	$48.83	$76.59
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $17.96 / $38.97	Professional	26	$12.11	$17.96	$38.97
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $28.03 / $31.76 / $51.77	Professional	TC	$28.03	$31.76	$51.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $32.80 / $45.08	Professional		$26.31	$32.80	$45.08
United Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $49.87 / $82.53	Professional		$38.36	$49.87	$82.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $17.05 / $26.65	Professional	26	$14.36	$17.05	$26.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.08 / $29.61 / $64.42	Professional	TC	$22.08	$29.61	$64.42