Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.70 / $46.70 / $49.03	Facility	26	$46.70	$46.70	$49.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $62.59 / $186.81	Professional		$52.52	$62.59	$186.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $38.71 / $61.64	Professional	26	$36.31	$38.71	$61.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $58.47 / $143.85	Professional	TC	$16.03	$58.47	$143.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $39.40 / $39.40	Professional	26	$39.40	$39.40	$39.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $76.63 / $103.45	Professional		$13.79	$76.63	$103.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.20 / $67.20 / $67.20	Professional	26	$67.20	$67.20	$67.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.75 / $14.75 / $14.75	Professional	TC	$14.75	$14.75	$14.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $111.80 / $282.12	Professional		$48.28	$111.80	$282.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.90 / $58.16 / $88.48	Professional	26	$34.90	$58.16	$88.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.17 / $70.83 / $205.78	Professional	TC	$10.17	$70.83	$205.78
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $32.82 / $46.70 / $47.54	Facility	26	$32.82	$46.70	$47.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $62.59 / $186.42	Professional		$43.34	$62.59	$186.42
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $32.82 / $38.71 / $61.64	Professional	26	$32.82	$38.71	$61.64
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $10.53 / $18.17 / $140.01	Professional	TC	$10.53	$18.17	$140.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $108.56 / $150.93	Professional		$34.44	$108.56	$150.93
United Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $111.26 / $159.99	Professional		$59.98	$111.26	$159.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.24 / $46.25 / $63.10	Professional	26	$38.24	$46.25	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.60 / $58.00 / $97.92	Professional	TC	$9.60	$58.00	$97.92