Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.67 / $12.57 / $14.81	Facility	26	$7.67	$12.57	$14.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $36.68 / $92.71	Professional		$29.89	$36.68	$92.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.55 / $23.85	Professional	26	$7.33	$8.55	$23.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $28.63 / $50.73	Professional	TC	$22.57	$28.63	$50.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $37.90 / $38.22	Professional		$28.02	$37.90	$38.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $7.23 / $10.79	Professional	26	$6.19	$7.23	$10.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $43.59 / $83.56	Professional		$10.65	$43.59	$83.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $45.54 / $68.31	Professional		$28.95	$45.54	$68.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.48 / $17.80	Professional	26	$7.08	$11.48	$17.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $35.33 / $55.06	Professional	TC	$21.52	$35.33	$55.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $60.72 / $153.79	Professional		$41.75	$60.72	$153.79
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.21 / $14.42 / $45.82	Professional	26	$10.21	$14.42	$45.82
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.44 / $45.69 / $110.64	Professional	TC	$29.44	$45.69	$110.64
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 $44.36 / $45.25 / $49.34	Professional		$44.36	$45.25	$49.34
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $10.41 / $11.06	Professional	26	$10.10	$10.41	$11.06
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.94 / $35.15 / $38.27	Professional	TC	$33.94	$35.15	$38.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $32.34 / $51.61	Professional		$11.57	$32.34	$51.61
United Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $42.50 / $68.88	Professional		$32.09	$42.50	$68.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.64 / $10.66 / $16.73	Professional	26	$8.64	$10.66	$16.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.21 / $32.07 / $52.77	Professional	TC	$23.21	$32.07	$52.77