Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.19 / $45.19 / $45.19	Facility	26	$45.19	$45.19	$45.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.98 / $279.58 / $446.26	Professional		$231.98	$279.58	$446.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $40.90 / $56.38	Professional	26	$35.15	$40.90	$56.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.57 / $236.99 / $361.09	Professional	TC	$192.57	$236.99	$361.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.84 / $239.84 / $239.84	Professional		$239.84	$239.84	$239.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.22 / $35.46 / $73.50	Professional	26	$35.22	$35.46	$73.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $349.13 / $496.14	Professional		$56.27	$349.13	$496.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.18 / $60.18 / $60.18	Professional	26	$60.18	$60.18	$60.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $332.88 / $332.88 / $332.88	Professional	TC	$332.88	$332.88	$332.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.98 / $42.98 / $42.98	Facility	26	$42.98	$42.98	$42.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $310.27 / $623.57	Professional		$240.62	$310.27	$623.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.78 / $45.98 / $92.60	Professional	26	$36.78	$45.98	$92.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.40 / $265.43 / $533.16	Professional	TC	$203.40	$265.43	$533.16
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $39.97 / $39.97 / $45.19	Facility	26	$39.97	$39.97	$45.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $273.08 / $398.47	Professional		$253.65	$273.08	$398.47
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $40.90 / $54.04	Professional	26	$36.10	$40.90	$54.04
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $214.15 / $234.40 / $322.54	Professional	TC	$214.15	$234.40	$322.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $208.62 / $307.44	Professional		$36.43	$208.62	$307.44
United Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $298.93 / $414.48	Professional		$256.36	$298.93	$414.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.26 / $44.78 / $64.06	Professional	26	$38.26	$44.78	$64.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.64 / $251.04 / $350.41	Professional	TC	$210.64	$251.04	$350.41