Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.27 / $8.27 / $10.43	Facility	26	$8.27	$8.27	$10.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $7.52 / $27.19	Professional	26	$5.82	$7.52	$27.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.46 / $23.21 / $77.48	Professional	TC	$18.46	$23.21	$77.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.02 / $24.04 / $55.19	Professional	26	$21.02	$24.04	$55.19
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 $121.97 / $121.97 / $121.97	Professional	TC	$121.97	$121.97	$121.97
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 $83.06 / $109.95 / $333.58	Professional	TC	$83.06	$109.95	$333.58
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $8.27 / $10.43 / $23.37	Facility	26	$8.27	$10.43	$23.37
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $6.40 / $23.37 / $32.71	Professional	26	$6.40	$23.37	$32.71
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $20.60 / $67.65 / $88.12	Professional	TC	$20.60	$67.65	$88.12
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 $69.51 / $93.80 / $105.91	Professional	TC	$69.51	$93.80	$105.91