Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.01 / $15.40 / $17.72	Facility	26	$8.01	$15.40	$17.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $34.52 / $68.84	Professional		$24.63	$34.52	$68.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $10.15 / $19.19	Professional	26	$8.02	$10.15	$19.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.18 / $14.40 / $28.48	Professional	52	$12.18	$14.40	$28.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.34 / $25.05 / $41.07	Professional	TC	$16.34	$25.05	$41.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $19.00 / $26.14	Professional		$17.37	$19.00	$26.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $12.37 / $12.37	Professional	26	$11.91	$12.37	$12.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $33.83 / $59.51	Professional		$11.47	$33.83	$59.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $42.62 / $67.04	Professional		$26.16	$42.62	$67.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $12.91 / $20.39	Professional	26	$7.95	$12.91	$20.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.27 / $30.14 / $48.68	Professional	TC	$18.27	$30.14	$48.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $50.44 / $163.13	Professional		$33.76	$50.44	$163.13
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $15.57 / $57.66	Professional	26	$10.99	$15.57	$57.66
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.76 / $34.00 / $106.93	Professional	TC	$22.76	$34.00	$106.93
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 $34.42 / $34.81 / $38.14	Professional		$34.42	$34.81	$38.14
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.93 / $11.22 / $11.91	Professional	26	$10.93	$11.22	$11.91
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.21 / $23.88 / $26.23	Professional	TC	$23.21	$23.88	$26.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $32.34 / $39.90	Professional		$12.46	$32.34	$39.90
United Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $43.45 / $64.97	Professional		$31.75	$43.45	$64.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $13.80 / $24.43	Professional	26	$9.74	$13.80	$24.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.63 / $30.13 / $45.50	Professional	TC	$21.63	$30.13	$45.50