Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.89 / $79.89 / $83.88	Facility	26	$79.89	$79.89	$83.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.49 / $502.24 / $725.20	Professional		$463.49	$502.24	$725.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.28 / $79.89 / $177.41	Professional	26	$64.28	$79.89	$177.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $399.20 / $422.35 / $622.12	Professional	TC	$399.20	$422.35	$622.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.35 / $85.11 / $138.50	Professional	26	$63.35	$85.11	$138.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $535.83 / $706.23	Professional		$99.10	$535.83	$706.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.99 / $105.99 / $105.99	Professional	26	$105.99	$105.99	$105.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.85 / $826.49 / $1,187.47	Professional		$368.85	$826.49	$1,187.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.97 / $80.62 / $149.27	Professional	26	$49.97	$80.62	$149.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $399.14 / $747.92 / $1,028.75	Professional	TC	$399.14	$747.92	$1,028.75
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $56.73 / $79.89 / $81.31	Facility	26	$56.73	$79.89	$81.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $385.30 / $463.49 / $654.92	Professional		$385.30	$463.49	$654.92
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $56.73 / $74.58 / $180.18	Professional	26	$56.73	$74.58	$180.18
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $328.56 / $410.70 / $633.53	Professional	TC	$328.56	$410.70	$633.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $357.20 / $470.15	Professional		$34.47	$357.20	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $451.33 / $525.04 / $693.22	Professional		$451.33	$525.04	$693.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.45 / $79.62 / $105.80	Professional	26	$66.45	$79.62	$105.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $384.88 / $448.29 / $648.48	Professional	TC	$384.88	$448.29	$648.48