Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.73 / $27.74 / $27.74	Facility	26	$27.73	$27.74	$27.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $48.42 / $83.01	Professional		$29.16	$48.42	$83.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.68 / $21.89 / $31.67	Professional	26	$17.68	$21.89	$31.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.60 / $28.66 / $41.33	Professional	TC	$9.60	$28.66	$41.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $71.19 / $71.19	Professional		$71.19	$71.19	$71.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.20 / $26.22 / $36.31	Professional	26	$24.20	$26.22	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $56.77 / $93.23	Professional		$30.38	$56.77	$93.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.62 / $27.62 / $32.49	Professional	26	$27.62	$27.62	$32.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $58.97 / $223.34	Professional		$37.60	$58.97	$223.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.75 / $29.50 / $85.90	Professional	26	$22.75	$29.50	$85.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.43 / $30.73 / $137.44	Professional	TC	$12.43	$30.73	$137.44
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.88 / $19.88 / $27.74	Facility	26	$19.88	$19.88	$27.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $47.27 / $80.89	Professional		$29.30	$47.27	$80.89
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $22.83 / $35.90	Professional	26	$19.55	$22.83	$35.90
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $9.42 / $28.08 / $41.33	Professional	TC	$9.42	$28.08	$41.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $33.21 / $47.52	Professional		$26.31	$33.21	$47.52
United Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $40.03 / $61.78	Professional		$31.17	$40.03	$61.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $24.59 / $34.89	Professional	26	$19.89	$24.59	$34.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.60 / $12.98 / $32.26	Professional	TC	$9.60	$12.98	$32.26