Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $181.97 / $223.87	Facility	26	$177.83	$181.97	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $537.03	Professional		$218.78	$295.12	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $177.83 / $512.86	Professional	26	$128.82	$177.83	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $141.25 / $223.87	Professional	TC	$104.71	$141.25	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $123.03 / $199.53	Professional	26	$114.82	$123.03	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $436.52 / $467.74	Professional		$416.87	$436.52	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $245.47 / $245.47 / $245.47	Professional	26	$245.47	$245.47	$245.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	TC	$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $630.96	Professional		$251.19	$354.81	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $190.55 / $338.84	Professional	26	$128.82	$190.55	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $162.18 / $295.12	Professional	TC	$125.89	$162.18	$295.12
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $186.21 / $331.13	Facility	26	$177.83	$186.21	$331.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $524.81	Professional		$213.80	$323.59	$524.81
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $177.83 / $380.19	Professional	26	$114.82	$177.83	$380.19
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $147.91 / $245.47	Professional	TC	$100.00	$147.91	$245.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $630.96	Professional		$223.87	$346.74	$630.96
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $190.55 / $338.84	Professional	26	$117.49	$190.55	$338.84
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $158.49 / $295.12	Professional	TC	$109.65	$158.49	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $457.09	Professional		$257.04	$331.13	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $177.83 / $245.47	Professional	26	$138.04	$177.83	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $154.88 / $213.80	Professional	TC	$120.23	$154.88	$213.80