Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.06 / $65.59 / $65.59	Facility	26	$52.06	$65.59	$65.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $85.96 / $100.28	Professional		$72.17	$85.96	$100.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.07 / $45.98 / $54.66	Professional	26	$40.07	$45.98	$54.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.78 / $41.99 / $49.84	Professional	TC	$33.78	$41.99	$49.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $67.36 / $67.36	Professional		$67.36	$67.36	$67.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $77.69 / $161.21	Professional		$64.23	$77.69	$161.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.23 / $69.23 / $69.23	Professional	26	$69.23	$69.23	$69.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.70 / $68.70 / $68.70	Professional	TC	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $132.38 / $374.07	Professional		$67.44	$132.38	$374.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.83 / $67.25 / $185.60	Professional	26	$37.83	$67.25	$185.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $64.37 / $188.47	Professional	TC	$29.11	$64.37	$188.47
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $43.61 / $43.61 / $65.59	Facility	26	$43.61	$43.61	$65.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $76.78 / $90.29 / $117.29	Professional		$76.78	$90.29	$117.29
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $41.89 / $46.49 / $61.05	Professional	26	$41.89	$46.49	$61.05
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $43.95 / $55.97	Professional	TC	$37.35	$43.95	$55.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $46.01 / $120.26	Professional		$28.42	$46.01	$120.26
United Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $92.18 / $139.44	Professional		$69.84	$92.18	$139.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.54 / $51.22 / $74.22	Professional	26	$42.54	$51.22	$74.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.70 / $41.96 / $61.05	Professional	TC	$27.70	$41.96	$61.05