Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.20 / $3.21 / $4.04	Facility	26	$3.20	$3.21	$4.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $20.67 / $29.09	Professional		$13.88	$20.67	$29.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.61 / $4.48 / $6.74	Professional	26	$2.61	$4.48	$6.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.26 / $15.87 / $23.51	Professional	TC	$11.26	$15.87	$23.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $23.04 / $23.04	Professional		$23.04	$23.04	$23.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.82 / $2.82 / $2.82	Professional	26	$2.82	$2.82	$2.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $21.29 / $25.77	Professional		$4.13	$21.29	$25.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.26 / $4.26 / $4.26	Professional	26	$4.26	$4.26	$4.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $27.67 / $58.72	Professional		$15.47	$27.67	$58.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.88 / $6.03 / $10.07	Professional	26	$2.88	$6.03	$10.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.39 / $21.58 / $46.54	Professional	TC	$12.39	$21.58	$46.54
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $3.20 / $5.49 / $5.49	Facility	26	$3.20	$5.49	$5.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $24.71 / $31.18	Professional		$14.54	$24.71	$31.18
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $2.68 / $5.03 / $7.23	Professional	26	$2.68	$5.03	$7.23
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $11.80 / $19.23 / $24.67	Professional	TC	$11.80	$19.23	$24.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $7.88 / $75.00	Professional		$1.70	$7.88	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $24.18 / $34.11	Professional		$19.02	$24.18	$34.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.59 / $5.67 / $7.80	Professional	26	$3.59	$5.67	$7.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.15 / $19.10 / $26.39	Professional	TC	$15.15	$19.10	$26.39