Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $27.54	Facility	26	$26.92	$26.92	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $97.72	Professional		$30.20	$54.95	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.91 / $45.71	Professional	26	$18.20	$22.91	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $32.36 / $46.77	Professional	TC	$10.00	$32.36	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.90 / $36.31	Professional	26	$21.88	$30.90	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $83.18	Professional		$46.77	$77.62	$83.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Professional	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $186.21	Professional		$34.67	$54.95	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $72.44	Professional	26	$20.89	$28.18	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $29.51 / $117.49	Professional	TC	$12.30	$29.51	$117.49
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $48.98 / $58.88	Facility	26	$19.95	$48.98	$58.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $93.33	Professional		$29.51	$52.48	$93.33
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $24.55 / $37.15	Professional	26	$19.50	$24.55	$37.15
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $29.51 / $46.77	Professional	TC	$9.33	$29.51	$46.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $186.21	Professional		$37.15	$57.54	$186.21
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.84 / $72.44	Professional	26	$20.42	$28.84	$72.44
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $30.90 / $117.49	Professional	TC	$12.59	$30.90	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $66.07	Professional		$30.90	$39.81	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $24.55 / $33.88	Professional	26	$19.95	$24.55	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $14.45 / $33.88	Professional	TC	$9.55	$14.45	$33.88