Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.98 / $14.32 / $14.67	Facility	26	$13.98	$14.32	$14.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.99 / $26.13	Professional	26	$9.16	$10.99	$26.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.01 / $17.04 / $36.68	Professional	TC	$13.01	$17.04	$36.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.19 / $23.18 / $31.25	Professional	26	$22.19	$23.18	$31.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.04 / $33.04 / $38.88	Professional	26	$33.04	$33.04	$38.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.99 / $56.99 / $56.99	Professional	TC	$56.99	$56.99	$56.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.31 / $35.15 / $103.08	Professional	26	$24.31	$35.15	$103.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.65 / $51.17 / $156.05	Professional	TC	$38.65	$51.17	$156.05
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $14.23 / $23.37 / $23.37	Facility	26	$14.23	$23.37	$23.37
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.39 / $23.37 / $27.34	Professional	26	$9.39	$23.37	$27.34
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $33.71 / $41.15	Professional	TC	$15.02	$33.71	$41.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.87 / $24.30 / $30.86	Professional	26	$21.87	$24.30	$30.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $36.34 / $49.48	Professional	TC	$32.36	$36.34	$49.48