Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.67 / $14.39 / $14.81	Facility	26	$7.67	$14.39	$14.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $32.40 / $68.23	Professional		$27.23	$32.40	$68.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $8.23 / $16.73	Professional	26	$7.31	$8.23	$16.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.43 / $23.11 / $41.46	Professional	TC	$19.43	$23.11	$41.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $30.65 / $30.65	Professional		$19.30	$30.65	$30.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $11.21 / $11.91	Professional	26	$6.12	$11.21	$11.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $17.60 / $17.60	Professional	TC	$17.60	$17.60	$17.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $32.34 / $72.00	Professional		$10.65	$32.34	$72.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $42.98 / $61.06	Professional		$26.39	$42.98	$61.06
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 $18.91 / $31.39 / $46.02	Professional	TC	$18.91	$31.39	$46.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $54.50 / $124.87	Professional		$37.49	$54.50	$124.87
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.21 / $14.47 / $40.84	Professional	26	$10.21	$14.47	$40.84
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.66 / $39.35 / $83.34	Professional	TC	$26.66	$39.35	$83.34
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 $38.22 / $38.82 / $42.45	Professional		$38.22	$38.82	$42.45
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 $27.81 / $28.72 / $31.40	Professional	TC	$27.81	$28.72	$31.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $32.34 / $44.40	Professional		$11.57	$32.34	$44.40
United Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $38.75 / $59.21	Professional		$29.83	$38.75	$59.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.57 / $10.66 / $17.01	Professional	26	$8.57	$10.66	$17.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.16 / $28.50 / $42.20	Professional	TC	$21.16	$28.50	$42.20