Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $17.78 / $22.39	Facility	26	$16.98	$17.78	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $117.49	Professional		$30.90	$51.29	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.95 / $53.70	Professional	26	$12.02	$19.95	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $69.18	Professional	TC	$19.05	$30.90	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $41.69	Professional		$30.90	$30.90	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $14.45 / $19.50	Professional	26	$12.59	$14.45	$19.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $20.89 / $29.51	Professional	TC	$20.89	$20.89	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $66.07	Professional		$38.90	$61.66	$66.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $23.99 / $32.36	Professional	26	$23.99	$23.99	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $41.69 / $41.69	Professional	TC	$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.72 / $17.38 / $24.55	Facility	26	$3.72	$17.38	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $120.23	Professional		$33.11	$58.88	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $20.89 / $42.66	Professional	26	$12.59	$20.89	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.90 / $87.10	Professional	TC	$20.89	$38.90	$87.10
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $22.39 / $35.48	Facility	26	$12.88	$22.39	$35.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $107.15	Professional		$38.02	$52.48	$107.15
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $17.78 / $42.66	Professional	26	$12.30	$17.78	$42.66
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.11 / $67.61	Professional	TC	$23.99	$33.11	$67.61
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $3.72 / $17.38 / $24.55	Facility	26	$3.72	$17.38	$24.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $117.49	Professional		$32.36	$48.98	$117.49
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $39.81	Professional	26	$10.96	$17.78	$39.81
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $35.48 / $93.33	Professional	TC	$19.95	$35.48	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $83.18	Professional		$36.31	$48.98	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.98 / $26.92	Professional	26	$14.13	$16.98	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $29.51 / $64.57	Professional	TC	$21.88	$29.51	$64.57