Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $56.23	Facility		$48.98	$48.98	$56.23
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	TC	$23.44	$23.44	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $57.54	Professional		$14.13	$19.05	$57.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $22.39 / $77.62	Professional	26	$10.00	$22.39	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $7.41 / $21.38	Professional	TC	$5.01	$7.41	$21.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $7.24 / $15.85	Professional	26	$5.62	$7.24	$15.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $28.84	Professional		$13.49	$20.89	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $20.89	Facility		$17.38	$17.38	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $33.88	Professional		$9.33	$12.88	$33.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.08 / $19.95	Professional	26	$5.75	$7.08	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $4.37 / $13.80	Professional	TC	$3.47	$4.37	$13.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $77.62	Professional		$22.91	$33.11	$77.62
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $19.50 / $66.07	Professional	26	$12.59	$19.50	$66.07
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $11.48 / $60.26	Professional	TC	$6.76	$11.48	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $32.36 / $33.11	Professional		$3.39	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.42 / $33.88	Professional		$13.80	$20.42	$33.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.59 / $20.42	Professional	26	$8.13	$12.59	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.50 / $7.94 / $13.49	Professional	TC	$5.50	$7.94	$13.49