Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.44 / $48.44 / $48.44	Facility		$48.44	$48.44	$48.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.34 / $28.34 / $28.34	Facility	26	$28.34	$28.34	$28.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.10 / $20.10 / $20.10	Facility	TC	$20.10	$20.10	$20.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.86 / $35.22	Professional		$15.14	$17.86	$35.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $11.51 / $34.36	Professional	26	$9.46	$11.51	$34.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.92 / $7.43 / $14.08	Professional	TC	$5.92	$7.43	$14.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $9.31 / $23.22	Professional		$9.31	$9.31	$23.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $6.72 / $16.35	Professional	26	$5.45	$6.72	$16.35
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $5.89 / $5.89 / $5.89	Professional	TC	$5.89	$5.89	$5.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $21.05 / $32.57	Professional		$13.43	$21.05	$32.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $10.99 / $33.21	Professional		$9.22	$10.99	$33.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.73 / $6.62 / $19.38	Professional	26	$5.73	$6.62	$19.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.39 / $4.30 / $13.84	Professional	TC	$2.39	$4.30	$13.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $33.11 / $73.09	Professional		$22.77	$33.11	$73.09
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.32 / $19.47 / $65.34	Professional	26	$13.32	$19.47	$65.34
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $7.25 / $11.60 / $48.56	Professional	TC	$7.25	$11.60	$48.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $17.80 / $32.34	Professional		$3.36	$17.80	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $20.70 / $33.53	Professional		$13.94	$20.70	$33.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.99 / $22.00	Professional	26	$8.13	$12.99	$22.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.59 / $7.86 / $12.62	Professional	TC	$5.59	$7.86	$12.62