Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $83.18 / $154.88	Facility	26	$43.65	$83.18	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $407.38	Professional		$79.43	$109.65	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $63.10 / $169.82	Professional	26	$42.66	$63.10	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $56.23 / $112.20	Professional	TC	$36.31	$56.23	$112.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $50.12 / $100.00	Professional	26	$50.12	$50.12	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $117.49 / $213.80	Professional		$63.10	$117.49	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $275.42	Professional		$85.11	$134.90	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $66.07 / $97.72	Professional	26	$45.71	$66.07	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $64.57 / $173.78	Professional	TC	$42.66	$64.57	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $851.14	Professional		$100.00	$199.53	$851.14
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $81.28 / $537.03	Professional	26	$53.70	$81.28	$537.03
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $89.13 / $524.81	Professional	TC	$46.77	$89.13	$524.81
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 $114.82 / $114.82 / $125.89	Professional		$114.82	$114.82	$125.89
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $66.07	Professional	26	$61.66	$61.66	$66.07
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $53.70 / $58.88	Professional	TC	$52.48	$53.70	$58.88
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 $97.72 / $134.90 / $229.09	Professional		$97.72	$134.90	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $61.66 / $93.33	Professional	26	$48.98	$61.66	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $66.07 / $144.54	Professional	TC	$44.67	$66.07	$144.54