Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.18 / $56.19 / $70.79	Facility	26	$56.18	$56.19	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $362.08 / $529.04	Professional		$267.32	$362.08	$529.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $56.19 / $74.17	Professional	26	$43.47	$56.19	$74.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $305.89 / $455.86	Professional	TC	$223.84	$305.89	$455.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.82 / $46.48 / $93.84	Professional	26	$44.82	$46.48	$93.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $439.96 / $515.13	Professional		$70.22	$439.96	$515.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.09 / $75.09 / $75.09	Professional	26	$75.09	$75.09	$75.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.86 / $550.84 / $758.97	Professional		$303.86	$550.84	$758.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.33 / $67.67 / $104.36	Professional	26	$34.33	$67.67	$104.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $244.68 / $468.02 / $690.23	Professional	TC	$244.68	$468.02	$690.23
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $39.10 / $56.18 / $58.99	Facility	26	$39.10	$56.18	$58.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $332.30 / $526.14	Professional		$277.89	$332.30	$526.14
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $39.10 / $52.80 / $88.00	Professional	26	$39.10	$52.80	$88.00
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $238.78 / $279.50 / $458.12	Professional	TC	$238.78	$279.50	$458.12
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 $289.77 / $333.55 / $466.33	Professional		$289.77	$333.55	$466.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.85 / $52.98 / $67.09	Professional	26	$46.85	$52.98	$67.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $247.99 / $306.04 / $397.85	Professional	TC	$247.99	$306.04	$397.85