Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $13.80 / $24.55	Facility	26	$7.08	$13.80	$24.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $36.31 / $75.86	Facility	TC	$19.95	$36.31	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $74.13	Professional		$18.20	$28.84	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $35.48	Professional	26	$7.08	$10.96	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $20.89 / $41.69	Professional	TC	$15.85	$20.89	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.39 / $22.91	Professional		$21.88	$22.39	$22.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.59 / $8.32	Professional	26	$6.03	$7.59	$8.32
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	TC	$17.78	$17.78	$17.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $34.67 / $66.07	Professional		$10.23	$34.67	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $54.95	Professional		$23.44	$37.15	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.96 / $16.60	Professional	26	$6.92	$10.96	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.70 / $39.81	Professional	TC	$16.98	$25.70	$39.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $93.33 / $173.78	Professional		$35.48	$93.33	$173.78
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $53.70	Professional	26	$8.91	$12.30	$53.70
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $31.62 / $97.72	Professional	TC	$22.91	$31.62	$97.72
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 Facility Modifier TC Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $38.90	Professional		$35.48	$35.48	$38.90
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $9.77 / $10.72	Professional	26	$9.12	$9.77	$10.72
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $25.12 / $28.18	Professional	TC	$23.99	$25.12	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $51.29	Professional		$26.92	$33.88	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.23 / $15.49	Professional	26	$8.13	$10.23	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $23.99 / $36.31	Professional	TC	$18.62	$23.99	$36.31