Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.26 / $84.26 / $84.26	Facility	26	$84.26	$84.26	$84.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $48.52 / $99.53	Professional		$41.82	$48.52	$99.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.90 / $31.10 / $64.01	Professional	26	$27.90	$31.10	$64.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.92 / $16.64 / $35.52	Professional	TC	$13.92	$16.64	$35.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $63.86 / $63.86	Professional		$63.86	$63.86	$63.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.21 / $18.17 / $41.92	Professional	26	$16.21	$18.17	$41.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $59.01 / $88.37	Professional		$39.94	$59.01	$88.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $29.50 / $92.98	Professional		$24.53	$29.50	$92.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.04 / $19.37 / $60.33	Professional	26	$17.04	$19.37	$60.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.49 / $10.11 / $33.50	Professional	TC	$7.49	$10.11	$33.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $90.11 / $176.15	Professional		$60.73	$90.11	$176.15
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.82 / $55.01 / $133.24	Professional	26	$37.82	$55.01	$133.24
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $26.82 / $51.39	Professional	TC	$18.82	$26.82	$51.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $36.28 / $75.09	Professional		$26.40	$36.28	$75.09
United Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $58.84 / $87.78	Professional		$35.71	$58.84	$87.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.47 / $39.15 / $61.50	Professional	26	$24.47	$39.15	$61.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.24 / $18.73 / $29.75	Professional	TC	$11.24	$18.73	$29.75