Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.51 / $14.27 / $18.37	Facility	26	$9.51	$14.27	$18.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $41.82 / $92.90	Professional		$33.29	$41.82	$92.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $13.19 / $52.70	Professional	26	$9.41	$13.19	$52.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $28.18 / $53.79	Professional	TC	$23.77	$28.18	$53.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $31.72 / $50.73	Professional		$25.67	$31.72	$50.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $10.18 / $14.57	Professional	26	$7.99	$10.18	$14.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $34.54 / $38.85	Professional	TC	$33.15	$34.54	$38.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $45.69 / $80.38	Professional		$13.51	$45.69	$80.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $51.44 / $74.00	Professional		$31.69	$51.44	$74.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $14.57 / $22.77	Professional	26	$9.09	$14.57	$22.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.82 / $37.40 / $55.67	Professional	TC	$22.82	$37.40	$55.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $67.27 / $186.39	Professional		$45.61	$67.27	$186.39
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $18.45 / $72.08	Professional	26	$12.95	$18.45	$72.08
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.89 / $46.91 / $107.33	Professional	TC	$31.89	$46.91	$107.33
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 $46.50 / $47.37 / $51.44	Professional		$46.50	$47.37	$51.44
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $13.33 / $14.03	Professional	26	$13.03	$13.33	$14.03
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.18 / $34.35 / $37.40	Professional	TC	$33.18	$34.35	$37.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $32.34 / $53.82	Professional		$14.67	$32.34	$53.82
United Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $47.00 / $75.66	Professional		$36.78	$47.00	$75.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.90 / $15.09 / $29.68	Professional	26	$10.90	$15.09	$29.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.44 / $32.72 / $50.46	Professional	TC	$25.44	$32.72	$50.46