Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $26.77 / $48.22	Professional		$23.89	$26.77	$48.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.26 / $19.85 / $33.15	Professional	26	$18.26	$19.85	$33.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.62 / $7.04 / $15.05	Professional	TC	$5.62	$7.04	$15.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.91 / $9.91 / $9.91	Professional	26	$9.91	$9.91	$9.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $42.10 / $59.83	Professional		$12.95	$42.10	$59.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.54 / $33.54 / $33.54	Professional	26	$33.54	$33.54	$33.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $22.62 / $47.67	Professional		$7.66	$22.62	$47.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $26.10 / $68.22	Professional		$13.64	$26.10	$68.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $20.04 / $51.98	Professional	26	$9.56	$20.04	$51.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.48 / $6.06 / $12.39	Professional	TC	$3.48	$6.06	$12.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $28.10 / $49.04	Professional		$26.41	$28.10	$49.04
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $20.56 / $36.00	Professional	26	$19.73	$20.56	$36.00
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $6.54 / $7.04 / $12.93	Professional	TC	$6.54	$7.04	$12.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $13.42 / $75.00	Professional		$5.54	$13.42	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $29.62 / $42.45	Professional		$18.19	$29.62	$42.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $22.69 / $32.34	Professional	26	$13.86	$22.69	$32.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.33 / $6.81 / $10.11	Professional	TC	$4.33	$6.81	$10.11