Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.21 / $19.21 / $19.22	Facility	26	$19.21	$19.21	$19.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $41.79 / $62.57	Professional		$25.37	$41.79	$62.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.36 / $15.38 / $22.27	Professional	26	$12.36	$15.38	$22.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.63 / $27.86 / $41.65	Professional	TC	$11.63	$27.86	$41.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.64 / $17.64 / $32.56	Professional	26	$17.64	$17.64	$32.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $60.49 / $82.80	Professional		$20.34	$60.49	$82.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.47 / $19.47 / $22.90	Professional	26	$19.47	$19.47	$22.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $49.87 / $190.41	Professional		$32.86	$49.87	$190.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.11 / $20.90 / $60.13	Professional	26	$16.11	$20.90	$60.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.92 / $29.88 / $130.28	Professional	TC	$14.92	$29.88	$130.28
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $13.99 / $13.99 / $19.22	Facility	26	$13.99	$13.99	$19.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $39.97 / $61.83	Professional		$25.37	$39.97	$61.83
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $15.85 / $22.45	Professional	26	$13.74	$15.85	$22.45
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $11.38 / $26.61 / $41.65	Professional	TC	$11.38	$26.61	$41.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $33.15 / $47.52	Professional		$26.31	$33.15	$47.52
United Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $34.29 / $56.75	Professional		$26.74	$34.29	$56.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.77 / $17.47 / $24.88	Professional	26	$13.77	$17.47	$24.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.67 / $14.92 / $31.32	Professional	TC	$11.67	$14.92	$31.32