Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.02 / $13.89 / $16.44	Facility	26	$8.02	$13.89	$16.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $38.25 / $74.50	Professional		$30.51	$38.25	$74.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $8.90 / $16.73	Professional	26	$7.35	$8.90	$16.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.79 / $39.24 / $59.06	Professional	50	$11.79	$39.24	$59.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $30.21 / $49.63	Professional	TC	$22.26	$30.21	$49.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $31.40 / $37.90	Professional		$23.77	$31.40	$37.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.98 / $11.21	Professional	26	$6.17	$7.98	$11.21
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.45 / $43.45 / $43.45	Professional	TC	$43.45	$43.45	$43.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $46.19 / $88.55	Professional		$10.65	$46.19	$88.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $47.52 / $72.78	Professional		$30.40	$47.52	$72.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $11.75 / $18.38	Professional	26	$7.15	$11.75	$18.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $37.46 / $57.16	Professional	TC	$21.28	$37.46	$57.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $64.43 / $151.05	Professional		$44.30	$64.43	$151.05
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.09 / $14.47 / $50.79	Professional	26	$10.09	$14.47	$50.79
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.00 / $48.01 / $111.98	Professional	TC	$31.00	$48.01	$111.98
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 $47.01 / $48.05 / $52.35	Professional		$47.01	$48.05	$52.35
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.09 / $10.37 / $11.06	Professional	26	$10.09	$10.37	$11.06
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.63 / $37.97 / $41.29	Professional	TC	$36.63	$37.97	$41.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $32.34 / $54.77	Professional		$11.57	$32.34	$54.77
United Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $45.14 / $74.00	Professional		$32.04	$45.14	$74.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.01 / $12.63 / $22.69	Professional	26	$9.01	$12.63	$22.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.55 / $40.50 / $75.90	Professional	TC	$25.55	$40.50	$75.90