Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.57 / $59.98 / $71.91	Facility	26	$36.57	$59.98	$71.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $261.51 / $580.95	Professional		$229.62	$261.51	$580.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.86 / $44.98 / $121.70	Professional	26	$35.86	$44.98	$121.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $223.54 / $425.40	Professional	TC	$192.87	$223.54	$425.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.70 / $48.26 / $54.30	Professional	26	$28.70	$48.26	$54.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $180.59 / $581.10	Professional		$50.33	$180.59	$581.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.06 / $356.68 / $550.02	Professional		$217.06	$356.68	$550.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.00 / $56.31 / $91.31	Professional	26	$36.00	$56.31	$91.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.98 / $302.38 / $523.30	Professional	TC	$180.98	$302.38	$523.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $261.02 / $379.68 / $863.07	Professional		$261.02	$379.68	$863.07
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.17 / $61.54 / $228.64	Professional	26	$42.17	$61.54	$228.64
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $219.05 / $318.62 / $666.11	Professional	TC	$219.05	$318.62	$666.11
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 $308.49 / $318.16 / $343.47	Professional		$308.49	$318.16	$343.47
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.39 / $49.61 / $52.29	Professional	26	$48.39	$49.61	$52.29
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $258.88 / $269.77 / $291.19	Professional	TC	$258.88	$269.77	$291.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $59.12 / $359.33	Professional		$32.34	$59.12	$359.33
United Facility/Professional Professional Modifier Low / Median / High Price $233.53 / $331.90 / $593.73	Professional		$233.53	$331.90	$593.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.28 / $55.19 / $87.56	Professional	26	$42.28	$55.19	$87.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $193.40 / $281.35 / $535.35	Professional	TC	$193.40	$281.35	$535.35