Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $17.78 / $29.51	Facility	26	$8.51	$17.78	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $69.18	Professional		$25.12	$33.11	$69.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.48 / $28.18	Professional	26	$7.94	$11.48	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.88 / $42.66	Professional	TC	$16.98	$21.88	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $7.41 / $14.13	Professional	26	$7.24	$7.41	$14.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $15.49 / $16.22	Professional	TC	$15.49	$15.49	$16.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $31.62 / $70.79	Professional		$12.30	$31.62	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $61.66	Professional		$26.30	$40.74	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $13.18 / $19.50	Professional	26	$8.13	$13.18	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $28.84 / $41.69	Professional	TC	$17.78	$28.84	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $190.55	Professional		$38.02	$72.44	$190.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $19.50 / $75.86	Professional	26	$11.75	$19.50	$75.86
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $41.69 / $128.82	Professional	TC	$25.70	$41.69	$128.82
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 $38.02 / $38.02 / $41.69	Professional		$38.02	$38.02	$41.69
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $12.02 / $12.88	Professional	26	$11.75	$12.02	$12.88
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $26.92 / $29.51	Professional	TC	$25.70	$26.92	$29.51
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 $28.84 / $38.02 / $54.95	Professional		$28.84	$38.02	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.75 / $18.62	Professional	26	$9.33	$11.75	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $38.02	Professional	TC	$19.05	$25.70	$38.02