Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $13.18 / $23.44	Facility	26	$7.08	$13.18	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $70.79	Professional		$19.95	$27.54	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $11.22 / $28.18	Professional	26	$6.03	$11.22	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $16.98 / $37.15	Professional	TC	$12.59	$16.98	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $33.11	Professional		$15.85	$18.62	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $5.89 / $10.47	Professional	26	$5.75	$5.89	$10.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $24.55 / $54.95	Professional		$9.77	$24.55	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $46.77	Professional		$19.50	$30.90	$46.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.47 / $15.49	Professional	26	$6.46	$10.47	$15.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $20.89 / $31.62	Professional	TC	$13.49	$20.89	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $114.82	Professional		$28.84	$44.67	$114.82
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.85 / $58.88	Professional	26	$9.33	$15.85	$58.88
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.99 / $70.79	Professional	TC	$17.78	$23.99	$70.79
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 $28.84 / $28.84 / $32.36	Professional		$28.84	$28.84	$32.36
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $9.55 / $10.23	Professional	26	$9.33	$9.55	$10.23
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $19.95 / $21.88	Professional	TC	$19.50	$19.95	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $42.66	Professional		$21.88	$28.84	$42.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.33 / $14.45	Professional	26	$7.41	$9.33	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $19.05 / $28.18	Professional	TC	$14.45	$19.05	$28.18