Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $53.21 / $71.79	Professional		$40.54	$53.21	$71.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $9.15 / $11.54	Professional	26	$6.81	$9.15	$11.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.52 / $43.95 / $60.45	Professional	TC	$33.52	$43.95	$60.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $52.55 / $52.55	Professional		$52.55	$52.55	$52.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $77.11 / $93.35	Professional		$12.95	$77.11	$93.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.85 / $13.85 / $13.85	Professional	26	$13.85	$13.85	$13.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $45.01 / $82.72	Professional		$38.65	$45.01	$82.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $8.34 / $13.28	Professional	26	$6.47	$8.34	$13.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.18 / $38.00 / $70.11	Professional	TC	$32.18	$38.00	$70.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $60.39 / $73.89	Professional		$45.92	$60.39	$73.89
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $10.24 / $12.46	Professional	26	$7.70	$10.24	$12.46
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $50.07 / $60.54	Professional	TC	$36.86	$50.07	$60.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $33.81 / $47.36	Professional		$27.05	$33.81	$47.36
United Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $56.27 / $69.41	Professional		$44.60	$56.27	$69.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.40 / $10.07 / $13.21	Professional	26	$8.40	$10.07	$13.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.64 / $48.22 / $57.43	Professional	TC	$35.64	$48.22	$57.43