Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.98 / $13.09 / $14.49	Facility	26	$7.98	$13.09	$14.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.49 / $72.06	Professional		$24.92	$30.49	$72.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $10.40 / $42.01	Professional	26	$7.33	$10.40	$42.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $22.02 / $38.93	Professional	TC	$17.57	$22.02	$38.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $23.42 / $30.55	Professional		$20.32	$23.42	$30.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $10.60 / $12.39	Professional	26	$6.45	$10.60	$12.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $34.70 / $69.90	Professional		$11.05	$34.70	$69.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $39.22 / $59.20	Professional		$25.03	$39.22	$59.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $11.75 / $18.14	Professional	26	$7.19	$11.75	$18.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $28.00 / $42.68	Professional	TC	$17.14	$28.00	$42.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $50.66 / $157.99	Professional		$34.83	$50.66	$157.99
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $14.99 / $72.79	Professional	26	$10.60	$14.99	$72.79
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.73 / $34.22 / $98.27	Professional	TC	$22.73	$34.22	$98.27
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 $37.11 / $37.61 / $41.16	Professional		$37.11	$37.61	$41.16
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $10.83 / $11.48	Professional	26	$10.53	$10.83	$11.48
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.27 / $27.11 / $29.67	Professional	TC	$26.27	$27.11	$29.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $32.34 / $43.06	Professional		$12.01	$32.34	$43.06
United Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $37.54 / $58.51	Professional		$27.57	$37.54	$58.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $11.09 / $18.76	Professional	26	$8.65	$11.09	$18.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $25.55 / $40.49	Professional	TC	$18.84	$25.55	$40.49