Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $19.95 / $36.31	Facility	26	$10.96	$19.95	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $154.88	Professional		$33.88	$48.98	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.98 / $42.66	Professional	26	$10.00	$16.98	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $67.61	Professional	TC	$23.99	$32.36	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $34.67	Professional		$23.99	$28.18	$34.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.12 / $12.02	Professional	26	$7.76	$9.12	$12.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $47.86 / $97.72	Professional		$15.14	$47.86	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $79.43	Professional		$34.67	$52.48	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.60 / $23.99	Professional	26	$10.23	$16.60	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $37.15 / $58.88	Professional	TC	$24.55	$37.15	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $186.21	Professional		$48.98	$97.72	$186.21
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $25.12 / $67.61	Professional	26	$14.45	$25.12	$67.61
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $52.48 / $131.83	Professional	TC	$33.11	$52.48	$131.83
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 $51.29 / $52.48 / $57.54	Professional		$51.29	$52.48	$57.54
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $14.79 / $15.85	Professional	26	$14.79	$14.79	$15.85
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $38.02 / $41.69	Professional	TC	$36.31	$38.02	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $72.44	Professional		$37.15	$47.86	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.79 / $22.91	Professional	26	$11.75	$14.79	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.88 / $51.29	Professional	TC	$25.12	$33.88	$51.29