Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $117.49	Professional		$46.77	$57.54	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $19.95 / $40.74	Professional	26	$16.22	$19.95	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.02 / $69.18	Professional	TC	$30.90	$38.02	$69.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.47 / $10.47	Professional	26	$10.47	$10.47	$10.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $66.07 / $102.33	Professional		$26.30	$66.07	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $109.65	Professional		$30.20	$36.31	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $13.80 / $39.81	Professional	26	$11.48	$13.80	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.99 / $69.18	Professional	TC	$18.20	$23.99	$69.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $501.19	Professional		$72.44	$109.65	$501.19
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $40.74 / $288.40	Professional	26	$26.30	$40.74	$288.40
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $64.57 / $245.47	Professional	TC	$37.15	$64.57	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.30 / $43.65	Professional		$13.18	$26.30	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $112.20	Professional		$46.77	$69.18	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $23.44 / $42.66	Professional	26	$16.98	$23.44	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $43.65 / $70.79	Professional	TC	$29.51	$43.65	$70.79