Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.02 / $49.02 / $49.02	Facility	26	$49.02	$49.02	$49.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $24.95 / $48.59	Professional		$21.86	$24.95	$48.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $18.76 / $73.98	Professional	26	$16.82	$18.76	$73.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.62 / $6.89 / $12.46	Professional	TC	$5.62	$6.89	$12.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $10.48 / $33.39	Professional	26	$9.43	$10.48	$33.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $32.78 / $47.37	Professional		$23.24	$32.78	$47.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.86 / $46.68	Professional		$13.80	$15.86	$46.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $12.01 / $33.94	Professional	26	$9.97	$12.01	$33.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.42 / $4.30 / $13.64	Professional	TC	$3.42	$4.30	$13.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $47.48 / $100.40	Professional		$32.51	$47.48	$100.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.92 / $33.52 / $171.97	Professional	26	$21.92	$33.52	$171.97
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $8.77 / $12.88 / $75.61	Professional	TC	$8.77	$12.88	$75.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $14.13 / $31.43	Professional		$5.08	$14.13	$31.43
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $30.41 / $46.33	Professional		$18.80	$30.41	$46.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.31 / $23.68 / $39.40	Professional	26	$14.31	$23.68	$39.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.50 / $7.45 / $11.56	Professional	TC	$4.50	$7.45	$11.56