Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.28 / $105.92 / $160.47	Facility	26	$68.28	$105.92	$160.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.99 / $475.00 / $875.82	Professional		$277.99	$475.00	$875.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.28 / $119.21 / $306.00	Professional	26	$68.28	$119.21	$306.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.77 / $335.00 / $499.19	Professional	TC	$242.77	$335.00	$499.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.82 / $289.63 / $392.78	Professional		$219.82	$289.63	$392.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.62 / $61.09 / $91.02	Professional	26	$47.62	$61.09	$91.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $351.84 / $674.47	Professional		$80.64	$351.84	$674.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.95 / $82.95 / $82.95	Facility	26	$82.95	$82.95	$82.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.31 / $467.12 / $766.34	Professional		$305.31	$467.12	$766.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.80 / $88.82 / $135.91	Professional	26	$53.80	$88.82	$135.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $237.91 / $373.35 / $667.25	Professional	TC	$237.91	$373.35	$667.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $344.15 / $534.29 / $1,936.64	Professional		$344.15	$534.29	$1,936.64
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.33 / $109.98 / $436.97	Professional	26	$77.33	$109.98	$436.97
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $273.27 / $428.66 / $1,570.77	Professional	TC	$273.27	$428.66	$1,570.77
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 $358.06 / $368.69 / $396.90	Professional		$358.06	$368.69	$396.90
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.73 / $79.43 / $83.77	Professional	26	$77.73	$79.43	$83.77
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $278.63 / $290.97 / $313.13	Professional	TC	$278.63	$290.97	$313.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $85.54 / $415.22	Professional		$32.34	$85.54	$415.22
United Facility/Professional Professional Modifier Low / Median / High Price $354.69 / $522.70 / $783.37	Professional		$354.69	$522.70	$783.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.37 / $86.10 / $131.52	Professional	26	$65.37	$86.10	$131.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $285.57 / $421.35 / $659.69	Professional	TC	$285.57	$421.35	$659.69