Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.83 / $26.83 / $28.17	Facility	26	$26.83	$26.83	$28.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $57.45 / $77.01	Professional		$38.25	$57.45	$77.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $23.06 / $39.07	Professional	26	$18.85	$23.06	$39.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $31.66 / $48.51	Professional	TC	$17.01	$31.66	$48.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $50.32 / $69.75	Professional		$49.99	$50.32	$69.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.61 / $19.61 / $24.04	Professional	26	$19.61	$19.61	$24.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $60.71 / $99.19	Professional		$29.88	$60.71	$99.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.17 / $31.96 / $31.96	Professional	26	$27.17	$31.96	$31.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $65.09 / $239.09	Professional		$46.18	$65.09	$239.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.30 / $31.32 / $84.47	Professional	26	$22.30	$31.32	$84.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $33.85 / $154.62	Professional	TC	$20.45	$33.85	$154.62
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $20.86 / $20.86 / $26.83	Facility	26	$20.86	$20.86	$26.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.52 / $75.94	Professional		$37.15	$56.52	$75.94
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.94 / $23.53 / $42.24	Professional	26	$19.94	$23.53	$42.24
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $16.29 / $32.88 / $47.77	Professional	TC	$16.29	$32.88	$47.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $33.44 / $47.52	Professional		$26.31	$33.44	$47.52
United Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $47.65 / $67.31	Professional		$39.17	$47.65	$67.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.25 / $24.22 / $35.04	Professional	26	$20.25	$24.22	$35.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $21.13 / $36.14	Professional	TC	$16.51	$21.13	$36.14