Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.12 / $17.63 / $19.38	Facility	26	$11.12	$17.63	$19.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $45.03 / $79.93	Professional		$37.47	$45.03	$79.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $11.12 / $20.59	Professional	26	$9.41	$11.12	$20.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $32.96 / $57.10	Professional	TC	$27.07	$32.96	$57.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $42.38 / $57.59	Professional		$26.60	$42.38	$57.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $11.54 / $16.68	Professional	26	$8.65	$11.54	$16.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $51.79 / $91.11	Professional		$14.73	$51.79	$91.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $59.44 / $86.91	Professional		$36.34	$59.44	$86.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $15.31 / $24.11	Professional	26	$9.51	$15.31	$24.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.15 / $44.04 / $65.89	Professional	TC	$27.15	$44.04	$65.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $76.26 / $217.51	Professional		$51.70	$76.26	$217.51
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.27 / $20.01 / $68.59	Professional	26	$14.27	$20.01	$68.59
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.43 / $54.72 / $140.13	Professional	TC	$37.43	$54.72	$140.13
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 $52.72 / $53.85 / $58.32	Professional		$52.72	$53.85	$58.32
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.27 / $14.55 / $15.30	Professional	26	$14.27	$14.55	$15.30
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.17 / $39.57 / $43.00	Professional	TC	$38.17	$39.57	$43.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $32.34 / $61.01	Professional		$16.01	$32.34	$61.01
United Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $54.74 / $87.34	Professional		$41.49	$54.74	$87.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.14 / $14.92 / $23.57	Professional	26	$11.14	$14.92	$23.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.69 / $39.26 / $57.31	Professional	TC	$29.69	$39.26	$57.31