Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $17.38 / $28.18	Facility	26	$8.91	$17.38	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $93.33	Professional		$25.12	$33.11	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $33.11	Professional	26	$7.94	$10.96	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $20.89 / $43.65	Professional	TC	$15.85	$20.89	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $26.92	Professional		$23.44	$23.44	$26.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.08 / $10.00	Professional	26	$6.46	$7.08	$10.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $36.31 / $67.61	Professional		$11.75	$36.31	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $58.88	Professional		$25.12	$41.69	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.18 / $19.95	Professional	26	$8.32	$13.18	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.84 / $42.66	Professional	TC	$17.38	$28.84	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $120.23 / $218.78	Professional		$38.02	$120.23	$218.78
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $28.18 / $83.18	Professional	26	$11.22	$28.18	$83.18
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $57.54 / $154.88	Professional	TC	$26.30	$57.54	$154.88
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 $38.02 / $38.90 / $41.69	Professional		$38.02	$38.90	$41.69
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $11.75 / $12.30	Professional	26	$11.48	$11.75	$12.30
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $26.92 / $29.51	Professional	TC	$26.30	$26.92	$29.51
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 $25.70 / $37.15 / $57.54	Professional		$25.70	$37.15	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.48 / $19.05	Professional	26	$8.13	$11.48	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.12 / $38.90	Professional	TC	$17.38	$25.12	$38.90