Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.92 / $44.92 / $56.59	Facility	26	$44.92	$44.92	$56.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $221.15 / $347.00	Professional		$182.95	$221.15	$347.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $40.21 / $66.63	Professional	26	$21.46	$40.21	$66.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.29 / $176.23 / $299.61	Professional	TC	$146.29	$176.23	$299.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.73 / $197.73 / $197.73	Professional		$197.73	$197.73	$197.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.44 / $37.82 / $44.49	Professional	26	$29.44	$37.82	$44.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $279.12 / $326.80	Professional		$58.00	$279.12	$326.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.65 / $59.65 / $59.65	Professional	26	$59.65	$59.65	$59.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $254.58 / $254.58 / $254.58	Professional	TC	$254.58	$254.58	$254.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.28 / $43.28 / $43.28	Facility	26	$43.28	$43.28	$43.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.64 / $252.58 / $558.33	Professional		$189.64	$252.58	$558.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.46 / $41.22 / $106.25	Professional	26	$26.46	$41.22	$106.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.86 / $215.71 / $445.41	Professional	TC	$154.86	$215.71	$445.41
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $22.93 / $44.92 / $56.59	Facility	26	$22.93	$44.92	$56.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $245.10 / $346.24	Professional		$183.97	$245.10	$346.24
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $22.93 / $38.17 / $64.29	Professional	26	$22.93	$38.17	$64.29
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $162.36 / $210.83 / $288.82	Professional	TC	$162.36	$210.83	$288.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $176.23 / $262.80	Professional		$36.32	$176.23	$262.80
United Facility/Professional Professional Modifier Low / Median / High Price $198.80 / $248.01 / $364.11	Professional		$198.80	$248.01	$364.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $37.28 / $56.18	Professional	26	$23.99	$37.28	$56.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.29 / $214.58 / $296.60	Professional	TC	$166.29	$214.58	$296.60