Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.69 / $24.69 / $31.10	Facility	26	$24.69	$24.69	$31.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $74.03 / $115.81	Professional		$55.14	$74.03	$115.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.73 / $24.69 / $57.46	Professional	26	$18.73	$24.69	$57.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.69 / $49.34 / $82.86	Professional	TC	$36.69	$49.34	$82.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $27.66 / $27.66	Professional	26	$19.48	$27.66	$27.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $90.09 / $117.12	Professional		$32.40	$90.09	$117.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.02 / $33.02 / $33.02	Professional	26	$33.02	$33.02	$33.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.92 / $23.92 / $23.92	Facility	26	$23.92	$23.92	$23.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $83.51 / $140.44	Professional		$55.94	$83.51	$140.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $25.85 / $51.85	Professional	26	$16.71	$25.85	$51.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.11 / $55.07 / $105.08	Professional	TC	$38.11	$55.07	$105.08
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $17.80 / $17.80 / $31.10	Facility	26	$17.80	$17.80	$31.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $73.04 / $114.44	Professional		$55.85	$73.04	$114.44
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $23.22 / $57.40	Professional	26	$17.80	$23.22	$57.40
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $38.04 / $49.34 / $78.03	Professional	TC	$38.04	$49.34	$78.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $32.82 / $44.67	Professional		$26.52	$32.82	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $71.29 / $101.44	Professional		$59.36	$71.29	$101.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.09 / $24.11 / $37.29	Professional	26	$20.09	$24.11	$37.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.32 / $46.48 / $65.98	Professional	TC	$37.32	$46.48	$65.98