Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $49.60 / $69.62	Professional		$34.84	$49.60	$69.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.96 / $37.21 / $1,067.07	Professional	26	$24.96	$37.21	$1,067.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $18.23 / $30.53	Professional	TC	$9.88	$18.23	$30.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.95 / $28.95 / $28.95	Professional	26	$28.95	$28.95	$28.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $59.83 / $87.39	Professional		$37.35	$59.83	$87.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.40 / $47.40 / $47.40	Professional	26	$47.40	$47.40	$47.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $38.69 / $104.51	Professional		$23.58	$38.69	$104.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $28.30 / $112.00	Professional	26	$13.50	$28.30	$112.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.68 / $11.80 / $34.19	Professional	TC	$7.68	$11.80	$34.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $53.10 / $83.55	Professional		$39.76	$53.10	$83.55
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $28.38 / $37.21 / $557.70	Professional	26	$28.38	$37.21	$557.70
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $11.38 / $21.76 / $34.79	Professional	TC	$11.38	$21.76	$34.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $39.78 / $73.30	Professional		$28.04	$39.78	$73.30
United Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $39.35 / $77.81	Professional		$25.45	$39.35	$77.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $28.89 / $64.70	Professional	26	$18.55	$28.89	$64.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.90 / $13.86 / $31.65	Professional	TC	$6.90	$13.86	$31.65