Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.10 / $41.10 / $43.15	Facility	26	$41.10	$41.10	$43.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $339.22 / $496.60	Professional		$300.52	$339.22	$496.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $41.10 / $86.93	Professional	26	$30.39	$41.10	$86.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $270.12 / $298.11 / $443.37	Professional	TC	$270.12	$298.11	$443.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.30 / $220.30 / $220.30	Professional		$220.30	$220.30	$220.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.44 / $44.46 / $67.34	Professional	26	$27.44	$44.46	$67.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $411.58 / $515.63	Professional		$51.29	$411.58	$515.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $54.86 / $54.86	Professional	26	$54.86	$54.86	$54.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $370.65 / $572.91	Professional		$48.95	$370.65	$572.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.34 / $353.14 / $823.59	Professional		$243.34	$353.14	$823.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.56 / $49.33 / $76.04	Professional	26	$27.56	$49.33	$76.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $209.26 / $312.23 / $744.10	Professional	TC	$209.26	$312.23	$744.10
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $28.06 / $41.10 / $43.15	Facility	26	$28.06	$41.10	$43.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $256.79 / $335.73 / $475.62	Professional		$256.79	$335.73	$475.62
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $28.06 / $41.10 / $78.13	Professional	26	$28.06	$41.10	$78.13
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $228.73 / $298.11 / $447.17	Professional	TC	$228.73	$298.11	$447.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $264.20 / $347.20	Professional		$34.19	$264.20	$347.20
United Facility/Professional Professional Modifier Low / Median / High Price $309.43 / $355.50 / $475.46	Professional		$309.43	$355.50	$475.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.81 / $39.64 / $50.75	Professional	26	$33.81	$39.64	$50.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $273.57 / $316.48 / $424.71	Professional	TC	$273.57	$316.48	$424.71