Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.58 / $16.66 / $18.92	Facility	26	$9.58	$16.66	$18.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $37.90 / $80.61	Professional		$29.39	$37.90	$80.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.75 / $21.80	Professional	26	$8.84	$10.75	$21.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $25.92 / $42.67	Professional	TC	$20.47	$25.92	$42.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $26.71 / $33.25	Professional		$20.64	$26.71	$33.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.17 / $14.30	Professional	26	$7.59	$12.17	$14.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $40.34 / $70.97	Professional		$12.69	$40.34	$70.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $47.18 / $70.09	Professional		$28.94	$47.18	$70.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $14.20 / $22.17	Professional	26	$8.84	$14.20	$22.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.50 / $32.53 / $48.91	Professional	TC	$20.50	$32.53	$48.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $59.42 / $199.08	Professional		$40.26	$59.42	$199.08
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $17.28 / $69.72	Professional	26	$12.19	$17.28	$69.72
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.02 / $39.56 / $112.71	Professional	TC	$28.02	$39.56	$112.71
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 $41.05 / $41.70 / $45.44	Professional		$41.05	$41.70	$45.44
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $12.48 / $13.18	Professional	26	$12.19	$12.48	$13.18
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $29.51 / $32.25	Professional	TC	$28.57	$29.51	$32.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $32.34 / $47.53	Professional		$13.79	$32.34	$47.53
United Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $43.05 / $65.17	Professional		$33.38	$43.05	$65.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $13.70 / $20.97	Professional	26	$10.81	$13.70	$20.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.29 / $30.29 / $45.68	Professional	TC	$22.29	$30.29	$45.68