Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $58.90 / $61.84	Facility	26	$58.89	$58.90	$61.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $107.50 / $157.44	Professional		$85.28	$107.50	$157.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $53.00 / $106.79	Professional	26	$40.96	$53.00	$106.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.04 / $54.64 / $77.95	Professional	TC	$39.04	$54.64	$77.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.34 / $48.34 / $69.75	Professional	26	$48.34	$48.34	$69.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $135.30 / $192.27	Professional		$67.23	$135.30	$192.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.42 / $80.42 / $80.42	Professional	26	$80.42	$80.42	$80.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.90 / $71.90 / $71.90	Professional	TC	$71.90	$71.90	$71.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $150.22 / $206.59	Professional		$83.66	$150.22	$206.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.11 / $65.56 / $111.30	Professional	26	$42.11	$65.56	$111.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.01 / $67.81 / $126.49	Professional	TC	$41.01	$67.81	$126.49
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $37.04 / $58.89 / $61.14	Facility	26	$37.04	$58.89	$61.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $104.96 / $138.11	Professional		$77.47	$104.96	$138.11
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $37.04 / $50.27 / $84.37	Professional	26	$37.04	$50.27	$84.37
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $40.43 / $48.60 / $68.95	Professional	TC	$40.43	$48.60	$68.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $66.05 / $109.73	Professional		$29.82	$66.05	$109.73
United Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $115.83 / $198.56	Professional		$91.60	$115.83	$198.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.30 / $58.03 / $71.33	Professional	26	$43.30	$58.03	$71.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.11 / $54.86 / $125.88	Professional	TC	$42.11	$54.86	$125.88