Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.07 / $11.58 / $13.10	Facility	26	$7.07	$11.58	$13.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $23.94 / $42.81	Professional		$20.48	$23.94	$42.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.89 / $19.96	Professional	26	$6.74	$7.89	$19.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.03 / $16.77 / $29.02	Professional	TC	$14.03	$16.77	$29.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $14.62	Professional		$14.62	$14.62	$14.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.32 / $6.15 / $12.86	Professional	26	$5.32	$6.15	$12.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $28.48 / $54.59	Professional		$9.82	$28.48	$54.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $32.13 / $46.82	Professional		$19.62	$32.13	$46.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $10.54 / $16.29	Professional	26	$6.52	$10.54	$16.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.61 / $21.93 / $32.22	Professional	TC	$13.61	$21.93	$32.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $39.54 / $86.83	Professional		$28.42	$39.54	$86.83
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $13.30 / $48.51	Professional	26	$9.42	$13.30	$48.51
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.28 / $24.29 / $54.83	Professional	TC	$18.28	$24.29	$54.83
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 $28.98 / $29.15 / $32.14	Professional		$28.98	$29.15	$32.14
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $9.61 / $10.21	Professional	26	$9.27	$9.61	$10.21
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.37 / $19.86 / $21.93	Professional	TC	$19.37	$19.86	$21.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $32.34 / $33.61	Professional		$10.68	$32.34	$33.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $29.96 / $46.46	Professional		$23.10	$29.96	$46.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $9.96 / $15.43	Professional	26	$7.74	$9.96	$15.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.39 / $20.11 / $30.77	Professional	TC	$15.39	$20.11	$30.77