Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.95 / $13.07 / $15.36	Facility	26	$7.95	$13.07	$15.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $30.53 / $57.71	Professional		$20.20	$30.53	$57.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $8.96 / $19.01	Professional	26	$7.65	$8.96	$19.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $113.57 / $113.57 / $113.57	Professional	50	$113.57	$113.57	$113.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.62 / $19.46 / $33.32	Professional	TC	$12.62	$19.46	$33.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $22.77 / $23.99	Professional		$14.44	$22.77	$23.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $8.24 / $11.28	Professional	26	$6.36	$8.24	$11.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $28.14 / $49.50	Professional		$11.06	$28.14	$49.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $35.24 / $55.26	Professional		$23.13	$35.24	$55.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $11.93 / $19.12	Professional	26	$7.65	$11.93	$19.12
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $41.47 / $47.09	Professional	50	$41.47	$41.47	$47.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.41 / $23.32 / $39.26	Professional	TC	$14.41	$23.32	$39.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $41.84 / $153.79	Professional		$28.09	$41.84	$153.79
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $14.96 / $59.72	Professional	26	$10.60	$14.96	$59.72
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $26.36 / $101.60	Professional	TC	$17.48	$26.36	$101.60
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 $28.64 / $28.76 / $31.69	Professional		$28.64	$28.76	$31.69
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $10.80 / $11.49	Professional	26	$10.50	$10.80	$11.49
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.84 / $18.25 / $20.20	Professional	TC	$17.84	$18.25	$20.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $32.34 / $33.15	Professional		$12.02	$32.34	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $35.90 / $54.19	Professional		$26.74	$35.90	$54.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $11.49 / $18.29	Professional	26	$8.90	$11.49	$18.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $24.75 / $37.83	Professional	TC	$17.82	$24.75	$37.83