Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.67 / $23.67 / $24.85	Facility	26	$23.67	$23.67	$24.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $49.84 / $80.20	Professional		$34.97	$49.84	$80.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $21.35 / $29.72	Professional	26	$17.42	$21.35	$29.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.33 / $27.91 / $42.70	Professional	TC	$15.33	$27.91	$42.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $46.60 / $105.53	Professional		$41.08	$46.60	$105.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $54.98 / $89.64	Professional		$27.71	$54.98	$89.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.55 / $23.55 / $27.70	Professional	26	$23.55	$23.55	$27.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.00 / $49.00 / $49.00	Professional	TC	$49.00	$49.00	$49.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $60.53 / $206.16	Professional		$42.95	$60.53	$206.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.67 / $30.59 / $73.02	Professional	26	$19.67	$30.59	$73.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $29.57 / $133.15	Professional	TC	$18.62	$29.57	$133.15
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $20.86 / $20.86 / $24.09	Facility	26	$20.86	$20.86	$24.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $49.68 / $72.98	Professional		$35.51	$49.68	$72.98
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $18.35 / $21.35 / $31.24	Professional	26	$18.35	$21.35	$31.24
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $14.65 / $28.54 / $42.08	Professional	TC	$14.65	$28.54	$42.08
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 $37.43 / $44.48 / $60.20	Professional		$37.43	$44.48	$60.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.79 / $24.09 / $34.26	Professional	26	$18.79	$24.09	$34.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.59 / $20.30 / $38.11	Professional	TC	$15.59	$20.30	$38.11