Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.27 / $18.37 / $18.37	Facility	26	$9.27	$18.37	$18.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $30.02 / $56.73	Professional		$25.76	$30.02	$56.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $9.53 / $24.79	Professional	26	$8.48	$9.53	$24.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $20.76 / $39.15	Professional	TC	$17.28	$20.76	$39.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.94 / $10.46	Professional	26	$8.71	$9.94	$10.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $37.29 / $71.48	Professional		$11.87	$37.29	$71.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $43.61 / $60.41	Professional		$25.33	$43.61	$60.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $13.28 / $20.77	Professional	26	$8.23	$13.28	$20.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.51 / $30.81 / $43.51	Professional	TC	$17.51	$30.81	$43.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $55.61 / $205.06	Professional		$36.49	$55.61	$205.06
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.89 / $16.59 / $74.51	Professional	26	$10.89	$16.59	$74.51
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.22 / $38.79 / $122.02	Professional	TC	$25.22	$38.79	$122.02
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 $37.95 / $38.47 / $42.00	Professional		$37.95	$38.47	$42.00
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $11.67 / $12.32	Professional	26	$11.36	$11.67	$12.32
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.27 / $27.11 / $29.67	Professional	TC	$26.27	$27.11	$29.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $32.34 / $43.94	Professional		$12.89	$32.34	$43.94
United Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $38.25 / $65.68	Professional		$28.48	$38.25	$65.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $14.30 / $27.27	Professional	26	$9.88	$14.30	$27.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.94 / $25.64 / $45.14	Professional	TC	$17.94	$25.64	$45.14