Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $55.83 / $94.11	Professional		$42.03	$55.83	$94.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $34.11 / $57.55	Professional	26	$27.96	$34.11	$57.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.07 / $22.74 / $36.54	Professional	TC	$14.07	$22.74	$36.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $25.70 / $46.02	Professional	26	$25.70	$25.70	$46.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $79.00 / $92.50	Professional		$28.88	$79.00	$92.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.05 / $58.05 / $58.05	Professional	26	$58.05	$58.05	$58.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $45.20 / $91.51	Professional		$25.62	$45.20	$91.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.52 / $31.32 / $89.33	Professional	26	$16.52	$31.32	$89.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.31 / $15.35 / $32.14	Professional	TC	$8.31	$15.35	$32.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $58.92 / $102.23	Professional		$53.90	$58.92	$102.23
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $35.40 / $36.34 / $63.83	Professional	26	$35.40	$36.34	$63.83
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $22.84 / $32.53	Professional	TC	$20.07	$22.84	$32.53
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 $33.15 / $55.10 / $81.94	Professional		$33.15	$55.10	$81.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.60 / $35.99 / $51.61	Professional	26	$22.60	$35.99	$51.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $18.04 / $27.83	Professional	TC	$10.82	$18.04	$27.83