Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.23 / $66.23 / $66.23	Facility	26	$66.23	$66.23	$66.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.50 / $367.32 / $484.86	Professional		$324.50	$367.32	$484.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $55.45 / $84.25	Professional	26	$49.03	$55.45	$84.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $280.99 / $301.08 / $488.08	Professional	TC	$280.99	$301.08	$488.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.81 / $70.81 / $70.81	Professional	26	$70.81	$70.81	$70.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $445.65 / $562.91	Professional		$78.06	$445.65	$562.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.88 / $87.88 / $87.88	Professional	26	$87.88	$87.88	$87.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.89 / $383.12 / $775.11	Professional		$268.89	$383.12	$775.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.23 / $65.79 / $122.09	Professional	26	$44.23	$65.79	$122.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.52 / $317.33 / $660.71	Professional	TC	$224.52	$317.33	$660.71
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $46.55 / $66.23 / $66.23	Facility	26	$46.55	$66.23	$66.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $275.29 / $336.99 / $487.89	Professional		$275.29	$336.99	$487.89
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $46.55 / $55.45 / $87.43	Professional	26	$46.55	$55.45	$87.43
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $228.74 / $280.99 / $451.62	Professional	TC	$228.74	$280.99	$451.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $264.20 / $347.20	Professional		$34.36	$264.20	$347.20
United Facility/Professional Professional Modifier Low / Median / High Price $337.37 / $386.87 / $523.73	Professional		$337.37	$386.87	$523.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.38 / $63.87 / $81.78	Professional	26	$54.38	$63.87	$81.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.94 / $317.95 / $441.95	Professional	TC	$275.94	$317.95	$441.95