Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $15.58 / $17.17	Facility	26	$8.94	$15.58	$17.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $34.17 / $75.14	Professional		$28.53	$34.17	$75.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $9.55 / $20.98	Professional	26	$8.26	$9.55	$20.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $23.28 / $41.54	Professional	TC	$20.19	$23.28	$41.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $21.79 / $33.58	Professional		$19.85	$21.79	$33.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.13 / $8.26 / $12.80	Professional	26	$7.13	$8.26	$12.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.95 / $32.95 / $32.95	Professional	TC	$32.95	$32.95	$32.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $38.79 / $74.38	Professional		$11.87	$38.79	$74.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $44.33 / $62.89	Professional		$27.03	$44.33	$62.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $13.14 / $20.07	Professional	26	$7.95	$13.14	$20.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $31.50 / $46.65	Professional	TC	$19.14	$31.50	$46.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $57.17 / $145.01	Professional		$38.72	$57.17	$145.01
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.38 / $16.16 / $57.66	Professional	26	$11.38	$16.16	$57.66
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.69 / $38.64 / $80.33	Professional	TC	$26.69	$38.64	$80.33
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 $39.47 / $40.08 / $43.72	Professional		$39.47	$40.08	$43.72
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $11.67 / $12.32	Professional	26	$11.36	$11.67	$12.32
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 $12.89 / $32.34 / $45.74	Professional		$12.89	$32.34	$45.74
United Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $40.34 / $62.51	Professional		$31.54	$40.34	$62.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $12.61 / $19.97	Professional	26	$9.94	$12.61	$19.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $27.55 / $42.48	Professional	TC	$20.93	$27.55	$42.48