Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.43 / $9.44 / $11.89	Facility	26	$9.43	$9.44	$11.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $31.94 / $105.80	Professional		$27.12	$31.94	$105.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $9.44 / $37.76	Professional	26	$7.02	$9.44	$37.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.66 / $22.57 / $34.19	Professional	TC	$18.66	$22.57	$34.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Professional		$19.14	$19.14	$19.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.61 / $7.02 / $12.64	Professional	26	$5.61	$7.02	$12.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $30.40 / $44.22	Professional		$10.45	$30.40	$44.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $11.18 / $11.18	Professional	26	$11.18	$11.18	$11.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.00 / $28.23 / $28.23	Professional	TC	$24.00	$28.23	$28.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $20.30 / $30.12	Professional		$7.48	$20.30	$30.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $37.69 / $81.53	Professional		$25.97	$37.69	$81.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $9.99 / $21.21	Professional	26	$7.42	$9.99	$21.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $27.25 / $59.07	Professional	TC	$19.46	$27.25	$59.07
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $7.44 / $9.43 / $11.89	Facility	26	$7.44	$9.43	$11.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $31.94 / $89.57	Professional		$26.36	$31.94	$89.57
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $9.43 / $33.45	Professional	26	$7.02	$9.43	$33.45
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $18.73 / $22.51 / $32.60	Professional	TC	$18.73	$22.51	$32.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $33.76 / $48.52	Professional		$26.52	$33.76	$48.52
United Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $35.74 / $67.14	Professional		$27.07	$35.74	$67.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $9.19 / $12.32	Professional	26	$7.21	$9.19	$12.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $24.71 / $49.38	Professional	TC	$18.86	$24.71	$49.38