Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $52.00 / $77.67	Professional		$35.34	$52.00	$77.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.71 / $27.50	Professional	26	$15.85	$20.71	$27.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $28.96 / $48.17	Professional	TC	$19.39	$28.96	$48.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $45.34 / $45.34	Professional		$45.34	$45.34	$45.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.91 / $19.91 / $25.88	Professional	26	$19.91	$19.91	$25.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $55.77 / $87.14	Professional		$32.81	$55.77	$87.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.49 / $32.49 / $32.49	Professional	26	$32.49	$32.49	$32.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.08 / $42.08 / $42.08	Professional	TC	$42.08	$42.08	$42.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $43.50 / $88.90	Professional		$34.79	$43.50	$88.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $19.46 / $38.46	Professional	26	$15.39	$19.46	$38.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $24.50 / $47.55	Professional	TC	$19.39	$24.50	$47.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $55.73 / $72.39	Professional		$40.90	$55.73	$72.39
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $17.59 / $22.66 / $30.25	Professional	26	$17.59	$22.66	$30.25
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $22.33 / $30.40 / $48.17	Professional	TC	$22.33	$30.40	$48.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $33.77 / $48.25	Professional		$27.05	$33.77	$48.25
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $54.60 / $75.56	Professional		$42.47	$54.60	$75.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.29 / $23.76 / $29.90	Professional	26	$19.29	$23.76	$29.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $29.29 / $47.36	Professional	TC	$23.71	$29.29	$47.36