Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $43.65 / $53.70	Facility	26	$42.66	$43.65	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $389.05	Professional		$120.23	$158.49	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $39.81 / $131.83	Professional	26	$30.20	$39.81	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $120.23 / $223.87	Professional	TC	$93.33	$120.23	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $77.62	Professional	26	$64.57	$64.57	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $234.42	Professional		$154.88	$218.78	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $57.54 / $77.62	Professional	26	$57.54	$57.54	$77.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $40.74 / $58.88	Facility	26	$8.71	$40.74	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $426.58	Professional		$117.49	$181.97	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $42.66 / $104.71	Professional	26	$28.84	$42.66	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $138.04 / $323.59	Professional	TC	$89.13	$138.04	$323.59
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $48.98 / $85.11	Facility	26	$41.69	$48.98	$85.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $331.13	Professional		$123.03	$165.96	$331.13
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $40.74 / $102.33	Professional	26	$29.51	$40.74	$102.33
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $125.89 / $234.42	Professional	TC	$93.33	$125.89	$234.42
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $40.74 / $58.88	Facility	26	$8.71	$40.74	$58.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $331.13	Professional		$112.20	$151.36	$331.13
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.90 / $79.43	Professional	26	$25.70	$38.90	$79.43
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $114.82 / $251.19	Professional	TC	$83.18	$114.82	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $223.87	Professional		$128.82	$158.49	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $39.81 / $57.54	Professional	26	$33.11	$39.81	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $120.23 / $165.96	Professional	TC	$93.33	$120.23	$165.96