Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.84 / $18.84 / $18.84	Facility	26	$18.84	$18.84	$18.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $52.77 / $61.72	Professional		$42.55	$52.77	$61.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.48 / $18.84	Professional	26	$12.88	$15.48	$18.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.92 / $36.54 / $44.32	Professional	TC	$29.92	$36.54	$44.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $52.49 / $71.01	Professional		$20.42	$52.49	$71.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $74.16 / $177.53	Professional		$52.14	$74.16	$177.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.96 / $22.47 / $57.27	Professional	26	$15.96	$22.47	$57.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.82 / $53.35 / $120.26	Professional	TC	$35.82	$53.35	$120.26
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $14.97 / $14.97 / $18.84	Facility	26	$14.97	$14.97	$18.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $52.87 / $67.77	Professional		$42.64	$52.87	$67.77
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $13.48 / $15.37 / $20.54	Professional	26	$13.48	$15.37	$20.54
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $28.61 / $37.89 / $47.44	Professional	TC	$28.61	$37.89	$47.44
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 $48.93 / $59.65 / $84.40	Professional		$48.93	$59.65	$84.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.73 / $17.82 / $26.07	Professional	26	$14.73	$17.82	$26.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.26 / $41.96 / $60.07	Professional	TC	$34.26	$41.96	$60.07