Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.03 / $59.03 / $61.99	Facility	26	$59.03	$59.03	$61.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $393.21 / $577.42	Professional		$318.73	$393.21	$577.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.85 / $53.40 / $76.72	Professional	26	$45.85	$53.40	$76.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.87 / $339.23 / $500.71	Professional	TC	$272.87	$339.23	$500.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.75 / $48.75 / $63.38	Professional	26	$48.75	$48.75	$63.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $479.71 / $605.95	Professional		$73.70	$479.71	$605.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $78.81 / $78.81	Professional	26	$78.81	$78.81	$78.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.83 / $541.88 / $918.72	Professional		$295.83	$541.88	$918.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.07 / $69.93 / $107.94	Professional	26	$37.07	$69.93	$107.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $254.53 / $455.45 / $668.26	Professional	TC	$254.53	$455.45	$668.26
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $40.69 / $59.03 / $60.10	Facility	26	$40.69	$59.03	$60.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $276.56 / $362.08 / $555.41	Professional		$276.56	$362.08	$555.41
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $40.69 / $55.45 / $88.56	Professional	26	$40.69	$55.45	$88.56
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $235.87 / $318.42 / $500.71	Professional	TC	$235.87	$318.42	$500.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $295.63 / $386.09	Professional		$34.36	$295.63	$386.09
United Facility/Professional Professional Modifier Low / Median / High Price $318.79 / $367.92 / $521.72	Professional		$318.79	$367.92	$521.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.82 / $58.04 / $73.58	Professional	26	$48.82	$58.04	$73.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $268.18 / $323.24 / $413.60	Professional	TC	$268.18	$323.24	$413.60