Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.81 / $62.81 / $62.81	Facility	26	$62.81	$62.81	$62.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $59.52 / $129.47	Professional		$50.68	$59.52	$129.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $23.48 / $47.30	Professional	26	$20.28	$23.48	$47.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.40 / $36.96 / $82.62	Professional	TC	$30.40	$36.96	$82.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.74 / $13.52 / $28.18	Professional	26	$12.74	$13.52	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $80.79 / $125.02	Professional		$29.76	$80.79	$125.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $40.04 / $127.46	Professional		$27.78	$40.04	$127.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.82 / $15.11 / $44.28	Professional	26	$12.82	$15.11	$44.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.51 / $26.63 / $84.97	Professional	TC	$11.51	$26.63	$84.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $114.23 / $327.63	Professional		$74.31	$114.23	$327.63
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.52 / $43.61 / $199.21	Professional	26	$29.52	$43.61	$199.21
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.89 / $71.90 / $180.98	Professional	TC	$35.89	$71.90	$180.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.50 / $117.73	Professional		$32.34	$36.50	$117.73
United Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $69.27 / $101.60	Professional		$43.43	$69.27	$101.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $30.22 / $86.60	Professional	26	$18.05	$30.22	$86.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.38 / $40.42 / $60.63	Professional	TC	$25.38	$40.42	$60.63