Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $100.00	Facility	26	$79.43	$79.43	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $630.96	Professional		$380.19	$467.74	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $79.43 / $251.19	Professional	26	$58.88	$79.43	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $398.11 / $575.44	Professional	TC	$316.23	$398.11	$575.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $66.07 / $138.04	Professional	26	$45.71	$66.07	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $676.08	Professional		$537.03	$630.96	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $870.96 / $1,174.90	Professional		$371.54	$870.96	$1,174.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $81.28 / $158.49	Professional	26	$50.12	$81.28	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $758.58 / $1,023.29	Professional	TC	$398.11	$758.58	$1,023.29
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $83.18 / $165.96	Facility	26	$79.43	$83.18	$165.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $724.44	Professional		$389.05	$489.78	$724.44
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $190.55	Professional	26	$56.23	$75.86	$190.55
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $426.58 / $660.69	Professional	TC	$331.13	$426.58	$660.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $870.96 / $1,047.13	Professional		$346.74	$870.96	$1,047.13
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $81.28 / $147.91	Professional	26	$50.12	$81.28	$147.91
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $758.58 / $1,318.26	Professional	TC	$288.40	$758.58	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $691.83	Professional		$446.68	$524.81	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $77.62 / $100.00	Professional	26	$66.07	$77.62	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $446.68 / $588.84	Professional	TC	$389.05	$446.68	$588.84