Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.34 / $14.34 / $14.34	Facility	26	$14.34	$14.34	$14.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $41.18 / $55.99	Professional		$36.19	$41.18	$55.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $12.36 / $15.70	Professional	26	$10.99	$12.36	$15.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $29.92 / $39.47	Professional	TC	$24.92	$29.92	$39.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $62.93 / $79.48	Professional		$18.82	$62.93	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $56.03 / $158.93	Professional		$39.54	$56.03	$158.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.97 / $16.67 / $41.82	Professional	26	$11.97	$16.67	$41.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.60 / $40.07 / $117.10	Professional	TC	$27.60	$40.07	$117.10
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.03 / $12.03 / $14.34	Facility	26	$12.03	$12.03	$14.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $44.78 / $60.25	Professional		$39.90	$44.78	$60.25
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $12.96 / $17.36	Professional	26	$11.28	$12.96	$17.36
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $28.25 / $30.44 / $42.78	Professional	TC	$28.25	$30.44	$42.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $33.09 / $47.38	Professional		$26.31	$33.09	$47.38
United Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $46.66 / $70.55	Professional		$38.86	$46.66	$70.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $14.55 / $20.89	Professional	26	$11.69	$14.55	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.57 / $32.59 / $47.82	Professional	TC	$26.57	$32.59	$47.82