Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.26 / $16.61 / $19.00	Facility	26	$9.26	$16.61	$19.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $19.70 / $36.22	Professional		$15.61	$19.70	$36.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $10.21 / $21.88	Professional	26	$8.61	$10.21	$21.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.99 / $10.11 / $15.53	Professional	TC	$6.99	$10.11	$15.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $12.18 / $13.70	Professional	26	$7.45	$12.18	$13.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $23.44 / $43.31	Professional		$12.70	$23.44	$43.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $28.22 / $46.41	Professional		$16.85	$28.22	$46.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $13.70 / $21.34	Professional	26	$8.55	$13.70	$21.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.63 / $13.88 / $26.12	Professional	TC	$7.63	$13.88	$26.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $31.04 / $150.82	Professional		$22.55	$31.04	$150.82
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $17.26 / $112.93	Professional	26	$12.18	$17.26	$112.93
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.35 / $16.23 / $87.32	Professional	TC	$10.35	$16.23	$87.32
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 $22.78 / $23.00 / $25.22	Professional		$22.78	$23.00	$25.22
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.17 / $12.44 / $13.20	Professional	26	$12.17	$12.44	$13.20
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.56 / $10.61 / $12.04	Professional	TC	$10.56	$10.61	$12.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $26.38 / $32.34	Professional		$11.37	$26.38	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $27.29 / $43.74	Professional		$19.48	$27.29	$43.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $12.81 / $20.30	Professional	26	$10.29	$12.81	$20.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.66 / $12.87 / $22.77	Professional	TC	$8.66	$12.87	$22.77