Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $25.70 / $114.82	Facility		$6.46	$25.70	$114.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $16.60 / $23.44	Facility	26	$7.08	$16.60	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.85 / $38.90	Professional		$9.77	$15.85	$38.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.12 / $33.11	Professional	26	$6.03	$9.12	$33.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $12.30 / $29.51	Professional	50	$11.48	$12.30	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.45 / $3.98 / $8.32	Professional	TC	$2.45	$3.98	$8.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $18.62	Professional		$7.94	$9.55	$18.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $1.82 / $1.82 / $10.96	Professional	26	$1.82	$1.82	$10.96
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.02 / $5.62	Professional	TC	$3.02	$3.02	$5.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $41.69 / $83.18	Facility		$26.92	$41.69	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.78 / $26.30	Professional		$9.77	$17.78	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $12.59 / $36.31	Facility		$3.55	$12.59	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.22 / $25.70	Professional		$10.23	$16.22	$25.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.96 / $17.38	Professional	26	$6.76	$10.96	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $5.37 / $8.91	Professional	TC	$3.02	$5.37	$8.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.70 / $81.28	Professional		$13.18	$25.70	$81.28
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $16.22 / $63.10	Professional	26	$8.71	$16.22	$63.10
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.17 / $7.41 / $83.18	Professional	TC	$4.17	$7.41	$83.18
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $13.49 / $13.80 / $15.49	Professional		$13.49	$13.80	$15.49
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $9.55 / $10.23	Professional	26	$9.33	$9.55	$10.23
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.17 / $4.47 / $5.13	Professional	TC	$4.17	$4.47	$5.13
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 Facility Modifier Low / Median / High Price $9.77 / $20.42 / $77.62	Facility		$9.77	$20.42	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $22.39	Professional		$11.48	$15.14	$22.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.23 / $15.14	Professional	26	$7.94	$10.23	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $4.79 / $7.76	Professional	TC	$3.39	$4.79	$7.76