Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $14.79 / $25.70	Facility	26	$7.59	$14.79	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $123.03	Professional		$25.70	$36.31	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.72 / $26.30	Professional	26	$7.08	$10.72	$26.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.12 / $51.29	Professional	TC	$18.20	$25.12	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $26.92	Professional		$19.95	$24.55	$26.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $6.46 / $8.91	Professional	26	$5.37	$6.46	$8.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $19.50 / $26.92	Professional	TC	$17.78	$19.50	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $31.62 / $72.44	Professional		$10.72	$31.62	$72.44
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 $7.08 / $11.48 / $17.38	Professional	26	$7.08	$11.48	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $44.67	Professional	TC	$19.05	$30.20	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $74.13 / $141.25	Professional		$38.02	$74.13	$141.25
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $17.38 / $45.71	Professional	26	$10.00	$17.38	$45.71
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $43.65 / $104.71	Professional	TC	$27.54	$43.65	$104.71
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 / $38.90 / $42.66	Professional		$38.02	$38.90	$42.66
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.47 / $10.96	Professional	26	$10.00	$10.47	$10.96
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $28.84 / $31.62	Professional	TC	$27.54	$28.84	$31.62
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 / $37.15 / $54.95	Professional		$28.84	$37.15	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.23 / $15.85	Professional	26	$8.13	$10.23	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $38.90	Professional	TC	$19.95	$26.92	$38.90