Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.68 / $79.68 / $79.68	Facility	26	$79.68	$79.68	$79.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $47.41 / $92.44	Professional		$41.20	$47.41	$92.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $30.83 / $79.81	Professional	26	$25.55	$30.83	$79.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.84 / $18.23 / $35.19	Professional	TC	$14.84	$18.23	$35.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $49.24 / $64.54	Professional		$49.24	$49.24	$64.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $16.39 / $45.97	Professional	26	$15.37	$16.39	$45.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.59 / $15.59 / $15.59	Professional	TC	$15.59	$15.59	$15.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $57.80 / $89.45	Professional		$37.76	$57.80	$89.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $28.61 / $90.23	Professional		$25.98	$28.61	$90.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $18.17 / $54.77	Professional	26	$16.14	$18.17	$54.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.10 / $11.08 / $35.14	Professional	TC	$9.10	$11.08	$35.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $88.93 / $192.84	Professional		$62.54	$88.93	$192.84
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.46 / $55.25 / $197.26	Professional	26	$37.46	$55.25	$197.26
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $32.22 / $220.89	Professional	TC	$21.58	$32.22	$220.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $82.63	Professional		$32.34	$32.34	$82.63
United Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $55.94 / $85.53	Professional		$35.47	$55.94	$85.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.14 / $36.57 / $55.00	Professional	26	$23.14	$36.57	$55.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.33 / $20.52 / $28.59	Professional	TC	$12.33	$20.52	$28.59