Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.94 / $81.96 / $87.39	Facility	26	$46.94	$81.96	$87.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.17 / $357.47 / $655.82	Professional		$296.17	$357.47	$655.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.05 / $51.00 / $116.45	Professional	26	$44.05	$51.00	$116.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.12 / $297.52 / $533.11	Professional	TC	$252.12	$297.52	$533.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.64 / $59.64 / $67.09	Professional	26	$59.64	$59.64	$67.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $224.17 / $743.08	Professional		$62.19	$224.17	$743.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.99 / $460.90 / $789.99	Professional		$297.99	$460.90	$789.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.72 / $69.58 / $112.57	Professional	26	$44.72	$69.58	$112.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $256.26 / $402.99 / $681.56	Professional	TC	$256.26	$402.99	$681.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $333.80 / $485.52 / $2,714.90	Professional		$333.80	$485.52	$2,714.90
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.19 / $76.73 / $435.25	Professional	26	$52.19	$76.73	$435.25
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $294.00 / $414.50 / $2,316.73	Professional	TC	$294.00	$414.50	$2,316.73
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 $394.49 / $407.93 / $438.82	Professional		$394.49	$407.93	$438.82
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.48 / $61.58 / $64.61	Professional	26	$60.48	$61.58	$64.61
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $332.90 / $347.45 / $374.21	Professional	TC	$332.90	$347.45	$374.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $67.59 / $459.07	Professional		$32.34	$67.59	$459.07
United Facility/Professional Professional Modifier Low / Median / High Price $332.35 / $446.30 / $765.00	Professional		$332.35	$446.30	$765.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.05 / $66.93 / $107.76	Professional	26	$53.05	$66.93	$107.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.10 / $382.63 / $656.02	Professional	TC	$275.10	$382.63	$656.02