Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $22.39	Facility	26	$16.98	$16.98	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $154.88	Professional		$41.69	$58.88	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.49 / $42.66	Professional	26	$10.96	$15.49	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $40.74 / $77.62	Professional	TC	$28.84	$40.74	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $46.77	Professional		$40.74	$40.74	$46.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Professional	26	$16.98	$16.98	$16.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $87.10	Professional		$60.26	$81.28	$87.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $22.39 / $22.39	Professional	26	$22.39	$22.39	$22.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	TC	$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.47 / $16.22 / $22.91	Facility	26	$3.47	$16.22	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $147.91	Professional		$42.66	$72.44	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.50 / $41.69	Professional	26	$12.02	$19.50	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $53.70 / $109.65	Professional	TC	$33.11	$53.70	$109.65
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $22.39 / $33.88	Facility	26	$12.30	$22.39	$33.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $114.82	Professional		$41.69	$58.88	$114.82
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.85 / $32.36	Professional	26	$11.48	$15.85	$32.36
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $41.69 / $75.86	Professional	TC	$30.20	$41.69	$75.86
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $3.47 / $16.22 / $22.91	Facility	26	$3.47	$16.22	$22.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $125.89	Professional		$42.66	$57.54	$125.89
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.60 / $37.15	Professional	26	$11.22	$16.60	$37.15
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $43.65 / $109.65	Professional	TC	$28.84	$43.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $87.10	Professional		$44.67	$53.70	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.14 / $25.70	Professional	26	$12.59	$15.14	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $38.90 / $61.66	Professional	TC	$32.36	$38.90	$61.66