Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $257.04	Professional		$70.79	$97.72	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $28.84 / $147.91	Professional	26	$23.99	$28.84	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $69.18 / $208.93	Professional	TC	$48.98	$69.18	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $13.80 / $13.80	Professional	26	$13.80	$13.80	$13.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $109.65 / $169.82	Professional		$35.48	$109.65	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $109.65 / $194.98	Professional		$48.98	$109.65	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $31.62 / $58.88	Professional	26	$15.14	$31.62	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $77.62 / $134.90	Professional	TC	$33.88	$77.62	$134.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $691.83	Professional		$117.49	$186.21	$691.83
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $54.95 / $331.13	Professional	26	$34.67	$54.95	$331.13
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $120.23 / $398.11	Professional	TC	$81.28	$120.23	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $281.84	Professional		$72.44	$123.03	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $38.02 / $66.07	Professional	26	$21.88	$38.02	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $87.10 / $208.93	Professional	TC	$50.12	$87.10	$208.93