Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.88 / $18.92 / $24.50	Facility	26	$9.88	$18.92	$24.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $39.46 / $73.45	Professional		$33.85	$39.46	$73.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $10.19 / $20.30	Professional	26	$8.97	$10.19	$20.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $29.58 / $53.05	Professional	TC	$24.44	$29.58	$53.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $21.37	Professional		$21.37	$21.37	$21.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $14.78 / $14.78	Professional	26	$7.89	$14.78	$14.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $40.94 / $91.13	Professional		$13.10	$40.94	$91.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $53.60 / $77.09	Professional		$32.97	$53.60	$77.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $14.32 / $22.07	Professional	26	$8.80	$14.32	$22.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.26 / $39.38 / $57.53	Professional	TC	$24.26	$39.38	$57.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $68.13 / $179.25	Professional		$46.89	$68.13	$179.25
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.61 / $17.86 / $62.47	Professional	26	$12.61	$17.86	$62.47
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.85 / $49.23 / $116.70	Professional	TC	$33.85	$49.23	$116.70
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 $48.37 / $49.37 / $53.60	Professional		$48.37	$49.37	$53.60
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.61 / $12.90 / $13.61	Professional	26	$12.61	$12.90	$13.61
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.47 / $36.76 / $40.00	Professional	TC	$35.47	$36.76	$40.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $32.34 / $56.07	Professional		$14.24	$32.34	$56.07
United Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $49.27 / $78.45	Professional		$37.68	$49.27	$78.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $13.62 / $21.62	Professional	26	$10.94	$13.62	$21.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.02 / $33.20 / $53.08	Professional	TC	$26.02	$33.20	$53.08