Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $33.72 / $45.90	Professional		$22.33	$33.72	$45.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $23.60 / $28.85	Professional	26	$16.12	$23.60	$28.85
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.17 / $15.38 / $24.04	Professional	52	$11.17	$15.38	$24.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.70 / $4.87 / $29.78	Professional	TC	$2.70	$4.87	$29.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $28.17 / $28.17	Professional		$28.17	$28.17	$28.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $41.27 / $49.75	Professional		$6.27	$41.27	$49.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $39.40 / $39.40	Professional	26	$39.40	$39.40	$39.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $27.13 / $66.43	Professional		$20.58	$27.13	$66.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.50 / $23.29 / $46.66	Professional	26	$17.50	$23.29	$46.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1.47 / $3.66 / $34.79	Professional	TC	$1.47	$3.66	$34.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $33.72 / $45.89	Professional		$27.58	$33.72	$45.89
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $23.60 / $30.29	Professional	26	$16.12	$23.60	$30.29
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $13.61 / $16.87 / $17.35	Professional	52	$13.61	$16.87	$17.35
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $3.95 / $5.00 / $29.78	Professional	TC	$3.95	$5.00	$29.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $15.76 / $18.32	Professional		$2.56	$15.76	$18.32
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $33.35 / $64.12	Professional		$25.77	$33.35	$64.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.84 / $21.43 / $32.47	Professional	26	$16.84	$21.43	$32.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.32 / $5.39 / $41.60	Professional	TC	$3.32	$5.39	$41.60