Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.31 / $32.31 / $40.71	Facility	26	$32.31	$32.31	$40.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $64.34 / $104.67	Professional		$56.32	$64.34	$104.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.30 / $29.82 / $47.88	Professional	26	$25.30	$29.82	$47.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.72 / $34.90 / $50.03	Professional	TC	$30.72	$34.90	$50.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $73.00	Professional		$73.00	$73.00	$73.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.42 / $34.63 / $46.24	Professional	26	$24.42	$34.63	$46.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $86.01 / $108.80	Professional		$40.34	$86.01	$108.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.14 / $43.14 / $43.14	Professional	26	$43.14	$43.14	$43.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $81.02 / $227.04	Professional		$58.37	$81.02	$227.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.90 / $36.20 / $95.60	Professional	26	$26.90	$36.20	$95.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.70 / $45.08 / $149.74	Professional	TC	$29.70	$45.08	$149.74
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $28.24 / $32.31 / $33.92	Facility	26	$28.24	$32.31	$33.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $69.78 / $99.48	Professional		$59.25	$69.78	$99.48
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $32.31 / $51.89	Professional	26	$26.64	$32.31	$51.89
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $31.35 / $37.47 / $49.47	Professional	TC	$31.35	$37.47	$49.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $44.67 / $79.12	Professional		$28.12	$44.67	$79.12
United Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $66.70 / $102.03	Professional		$55.31	$66.70	$102.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.31 / $32.15 / $47.64	Professional	26	$26.31	$32.15	$47.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.93 / $34.38 / $51.41	Professional	TC	$27.93	$34.38	$51.41