Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.71 / $14.81 / $14.81	Facility	26	$7.71	$14.81	$14.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $31.62 / $65.72	Professional		$26.78	$31.62	$65.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $8.06 / $17.11	Professional	26	$7.07	$8.06	$17.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $23.82 / $43.46	Professional	TC	$19.46	$23.82	$43.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $25.10 / $43.36	Professional		$20.07	$25.10	$43.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $10.21 / $11.91	Professional	26	$6.12	$10.21	$11.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $39.07 / $68.73	Professional		$10.65	$39.07	$68.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $41.99 / $63.54	Professional		$26.38	$41.99	$63.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $11.48 / $17.67	Professional	26	$6.98	$11.48	$17.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.36 / $30.47 / $47.63	Professional	TC	$19.36	$30.47	$47.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $54.89 / $140.97	Professional		$37.38	$54.89	$140.97
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.21 / $14.42 / $51.38	Professional	26	$10.21	$14.42	$51.38
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $27.88 / $40.63 / $90.36	Professional	TC	$27.88	$40.63	$90.36
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 $39.75 / $40.43 / $44.17	Professional		$39.75	$40.43	$44.17
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $10.41 / $11.06	Professional	26	$10.10	$10.41	$11.06
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.34 / $30.32 / $33.11	Professional	TC	$29.34	$30.32	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $32.34 / $46.21	Professional		$11.57	$32.34	$46.21
United Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $38.28 / $60.19	Professional		$29.05	$38.28	$60.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.64 / $10.84 / $17.02	Professional	26	$8.64	$10.84	$17.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $28.37 / $43.44	Professional	TC	$20.73	$28.37	$43.44