Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.19 / $16.11 / $18.92	Facility	26	$10.19	$16.11	$18.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $47.01 / $100.35	Professional		$34.36	$47.01	$100.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $11.11 / $29.88	Professional	26	$9.50	$11.11	$29.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.87 / $36.57 / $57.59	Professional	TC	$24.87	$36.57	$57.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $24.23 / $24.23	Professional		$24.23	$24.23	$24.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $10.23 / $15.23	Professional	26	$7.88	$10.23	$15.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.71 / $34.71 / $34.71	Professional	TC	$34.71	$34.71	$34.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $47.16 / $82.97	Professional		$13.51	$47.16	$82.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $56.44 / $86.62	Professional		$34.26	$56.44	$86.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $14.74 / $23.57	Professional	26	$9.18	$14.74	$23.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.72 / $42.14 / $64.31	Professional	TC	$25.72	$42.14	$64.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $69.53 / $213.49	Professional		$47.07	$69.53	$213.49
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.01 / $18.39 / $77.51	Professional	26	$13.01	$18.39	$77.51
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.04 / $50.73 / $150.60	Professional	TC	$34.04	$50.73	$150.60
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 $48.00 / $48.97 / $53.17	Professional		$48.00	$48.97	$53.17
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.01 / $13.29 / $14.04	Professional	26	$13.01	$13.29	$14.04
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.71 / $35.96 / $39.13	Professional	TC	$34.71	$35.96	$39.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $32.34 / $55.62	Professional		$14.69	$32.34	$55.62
United Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $52.08 / $77.75	Professional		$38.31	$52.08	$77.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $14.08 / $21.31	Professional	26	$11.01	$14.08	$21.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.43 / $38.61 / $55.76	Professional	TC	$28.43	$38.61	$55.76