Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.12 / $179.12 / $188.07	Facility	26	$179.12	$179.12	$188.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $299.02 / $432.88	Professional		$255.18	$299.02	$432.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $179.12 / $250.01	Professional	26	$131.81	$179.12	$250.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.22 / $148.81 / $196.43	Professional	TC	$119.22	$148.81	$196.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $129.41 / $197.63 / $205.23	Professional	26	$129.41	$197.63	$205.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $414.42 / $485.22	Professional		$206.17	$414.42	$485.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $246.06 / $246.06 / $246.06	Professional	26	$246.06	$246.06	$246.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $220.50 / $220.50 / $220.50	Professional	TC	$220.50	$220.50	$220.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.52 / $464.06 / $632.13	Professional		$256.52	$464.06	$632.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.34 / $227.38 / $340.25	Professional	26	$129.34	$227.38	$340.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $124.67 / $185.98 / $291.89	Professional	TC	$124.67	$185.98	$291.89
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $113.15 / $179.12 / $187.12	Facility	26	$113.15	$179.12	$187.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $212.94 / $318.69 / $413.20	Professional		$212.94	$318.69	$413.20
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $113.15 / $171.90 / $250.01	Professional	26	$113.15	$171.90	$250.01
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $99.80 / $148.24 / $193.84	Professional	TC	$99.80	$148.24	$193.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $170.96 / $323.40	Professional		$118.77	$170.96	$323.40
United Facility/Professional Professional Modifier Low / Median / High Price $258.26 / $312.45 / $461.06	Professional		$258.26	$312.45	$461.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $137.59 / $179.13 / $246.30	Professional	26	$137.59	$179.13	$246.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.67 / $152.43 / $208.22	Professional	TC	$120.67	$152.43	$208.22