Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.34 / $14.49 / $15.41	Facility	26	$8.34	$14.49	$15.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $36.63 / $69.62	Professional		$29.87	$36.63	$69.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $8.56 / $18.71	Professional	26	$7.66	$8.56	$18.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $27.35 / $51.77	Professional	TC	$21.94	$27.35	$51.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $23.01 / $39.22	Professional		$23.01	$23.01	$39.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $11.65 / $12.39	Professional	26	$6.61	$11.65	$12.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $38.54 / $85.80	Professional		$11.05	$38.54	$85.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $46.27 / $70.08	Professional		$28.89	$46.27	$70.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $11.92 / $18.50	Professional	26	$7.37	$11.92	$18.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $35.22 / $56.29	Professional	TC	$21.64	$35.22	$56.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $62.30 / $126.88	Professional		$42.83	$62.30	$126.88
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $14.99 / $38.44	Professional	26	$10.60	$14.99	$38.44
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.71 / $47.78 / $89.91	Professional	TC	$30.71	$47.78	$89.91
Hally Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $46.48 / $50.62	Professional		$45.55	$46.48	$50.62
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $10.83 / $11.48	Professional	26	$10.53	$10.83	$11.48
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.71 / $35.96 / $39.13	Professional	TC	$34.71	$35.96	$39.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $32.34 / $52.96	Professional		$12.01	$32.34	$52.96
United Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $43.74 / $66.91	Professional		$31.39	$43.74	$66.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $11.36 / $18.11	Professional	26	$9.02	$11.36	$18.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.10 / $32.07 / $54.04	Professional	TC	$23.10	$32.07	$54.04