Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.37 / $48.37 / $60.94	Facility	26	$48.37	$48.37	$60.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $74.00 / $116.31	Professional		$59.70	$74.00	$116.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.15 / $44.40 / $79.44	Professional	26	$34.15	$44.40	$79.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $34.14 / $48.96	Professional	TC	$21.05	$34.14	$48.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $68.97 / $97.46	Professional		$68.97	$68.97	$97.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.69 / $34.93 / $50.48	Professional	26	$29.69	$34.93	$50.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $105.57 / $126.68	Professional		$52.79	$105.57	$126.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.99 / $47.99 / $47.99	Professional	26	$47.99	$47.99	$47.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $93.61 / $303.51	Professional		$68.22	$93.61	$303.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $62.08 / $150.33	Professional	26	$39.61	$62.08	$150.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.94 / $35.70 / $153.19	Professional	TC	$23.94	$35.70	$153.19
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $44.26 / $44.26 / $60.94	Facility	26	$44.26	$44.26	$60.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $77.23 / $117.24	Professional		$64.16	$77.23	$117.24
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $35.03 / $44.26 / $68.94	Professional	26	$35.03	$44.26	$68.94
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $31.98 / $50.01	Professional	TC	$19.89	$31.98	$50.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $45.28 / $79.93	Professional		$28.42	$45.28	$79.93
United Facility/Professional Professional Modifier Low / Median / High Price $62.63 / $74.23 / $105.85	Professional		$62.63	$74.23	$105.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.69 / $49.60 / $71.77	Professional	26	$36.69	$49.60	$71.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.62 / $25.33 / $43.31	Professional	TC	$19.62	$25.33	$43.31