Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.48 / $19.48 / $19.48	Facility	26	$19.48	$19.48	$19.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $48.98 / $61.34	Professional		$37.59	$48.98	$61.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $16.87 / $21.06	Professional	26	$14.08	$16.87	$21.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $32.11 / $41.09	Professional	TC	$23.51	$32.11	$41.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.07 / $12.07 / $12.07	Professional	26	$12.07	$12.07	$12.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $62.93 / $93.45	Professional		$24.40	$62.93	$93.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.10 / $26.10 / $26.10	Professional	26	$26.10	$26.10	$26.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $18.82 / $18.82	Facility	26	$18.82	$18.82	$18.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $58.86 / $99.42	Professional		$33.83	$58.86	$99.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.93 / $20.07 / $40.35	Professional	26	$12.93	$20.07	$40.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.64 / $39.04 / $73.04	Professional	TC	$20.64	$39.04	$73.04
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $13.78 / $13.78 / $19.48	Facility	26	$13.78	$13.78	$19.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $47.72 / $71.61	Professional		$34.09	$47.72	$71.61
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $16.98 / $25.18	Professional	26	$13.78	$16.98	$25.18
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $29.29 / $49.19	Professional	TC	$20.30	$29.29	$49.19
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 $39.70 / $44.86 / $67.16	Professional		$39.70	$44.86	$67.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.52 / $18.05 / $26.52	Professional	26	$14.52	$18.05	$26.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $27.43 / $41.36	Professional	TC	$23.31	$27.43	$41.36