Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.31 / $12.92 / $15.51	Facility	26	$12.31	$12.92	$15.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $35.25 / $60.00	Professional		$30.05	$35.25	$60.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.77 / $13.66 / $39.71	Professional	26	$10.77	$13.66	$39.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.54 / $22.29 / $34.46	Professional	TC	$18.54	$22.29	$34.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $38.49 / $38.49	Professional		$34.18	$38.49	$38.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $10.24 / $19.07	Professional	26	$10.24	$10.24	$19.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $43.05 / $54.38	Professional		$15.44	$43.05	$54.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.03 / $16.51 / $16.51	Professional	26	$14.03	$16.51	$16.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.96 / $31.96 / $31.96	Professional	TC	$31.96	$31.96	$31.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $23.04 / $38.61	Professional		$11.07	$23.04	$38.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.90 / $11.90 / $11.90	Facility	26	$11.90	$11.90	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $41.94 / $80.94	Professional		$24.09	$41.94	$80.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $16.02 / $31.93	Professional	26	$10.37	$16.02	$31.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $25.95 / $52.60	Professional	TC	$16.80	$25.95	$52.60
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $10.99 / $10.99 / $15.51	Facility	26	$10.99	$10.99	$15.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $35.25 / $53.43	Professional		$32.90	$35.25	$53.43
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $12.92 / $39.71	Professional	26	$10.99	$12.92	$39.71
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $15.97 / $21.58 / $32.45	Professional	TC	$15.97	$21.58	$32.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $32.91 / $46.17	Professional		$26.31	$32.91	$46.17
United Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $40.11 / $59.96	Professional		$34.61	$40.11	$59.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $16.20 / $24.18	Professional	26	$13.11	$16.20	$24.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $23.82 / $38.15	Professional	TC	$20.57	$23.82	$38.15