Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.92 / $17.92 / $18.82	Facility	26	$17.92	$17.92	$18.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $35.76 / $60.48	Professional		$17.14	$35.76	$60.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $13.95 / $23.29	Professional	26	$7.32	$13.95	$23.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $21.96 / $37.88	Professional	TC	$10.11	$21.96	$37.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.70 / $14.94 / $21.48	Professional	26	$11.70	$14.94	$21.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $44.44 / $86.72	Professional		$23.31	$44.44	$86.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.97 / $23.97 / $23.97	Professional	26	$23.97	$23.97	$23.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $32.22 / $54.65	Professional		$16.01	$32.22	$54.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $30.37 / $92.22	Professional		$16.39	$30.37	$92.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $12.86 / $33.06	Professional	26	$7.48	$12.86	$33.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.36 / $19.09 / $59.16	Professional	TC	$8.36	$19.09	$59.16
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $6.29 / $17.92 / $18.39	Facility	26	$6.29	$17.92	$18.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $38.90 / $63.35	Professional		$14.96	$38.90	$63.35
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $6.29 / $14.77 / $23.29	Professional	26	$6.29	$14.77	$23.29
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $8.67 / $24.84 / $41.05	Professional	TC	$8.67	$24.84	$41.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $32.77 / $44.67	Professional		$26.31	$32.77	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $27.59 / $51.13	Professional		$18.43	$27.59	$51.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $11.29 / $19.48	Professional	26	$7.69	$11.29	$19.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.73 / $16.14 / $32.90	Professional	TC	$10.73	$16.14	$32.90