Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $66.07 / $66.07	Facility	26	$52.48	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $120.23	Professional		$72.44	$85.11	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $45.71 / $81.28	Professional	26	$39.81	$45.71	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $42.66 / $58.88	Professional	TC	$34.67	$42.66	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $114.82	Professional		$70.79	$83.18	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $138.04	Professional		$117.49	$128.82	$138.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	26	$69.18	$69.18	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	TC	$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $50.12 / $70.79	Facility	26	$10.72	$50.12	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $309.03	Professional		$67.61	$112.20	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $61.66 / $173.78	Professional	26	$38.02	$61.66	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $51.29 / $177.83	Professional	TC	$34.67	$51.29	$177.83
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $109.65 / $128.82	Facility	26	$43.65	$109.65	$128.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $131.83	Professional		$77.62	$91.20	$131.83
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $48.98 / $72.44	Professional	26	$41.69	$48.98	$72.44
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $44.67 / $63.10	Professional	TC	$37.15	$44.67	$63.10
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $50.12 / $70.79	Facility	26	$10.72	$50.12	$70.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $354.81	Professional		$66.07	$112.20	$354.81
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $60.26 / $173.78	Professional	26	$36.31	$60.26	$173.78
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $50.12 / $177.83	Professional	TC	$30.20	$50.12	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $134.90	Professional		$70.79	$89.13	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $51.29 / $74.13	Professional	26	$41.69	$51.29	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $40.74 / $61.66	Professional	TC	$26.92	$40.74	$61.66