Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.83 / $55.83 / $55.83	Facility	26	$55.83	$55.83	$55.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $58.17 / $90.16	Professional		$50.37	$58.17	$90.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.12 / $20.57 / $31.88	Professional	26	$18.12	$20.57	$31.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.44 / $37.60 / $58.28	Professional	TC	$31.44	$37.60	$58.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $75.06 / $75.06	Professional		$75.06	$75.06	$75.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.19 / $28.19 / $28.19	Professional	26	$28.19	$28.19	$28.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $66.45 / $102.83	Professional		$26.46	$66.45	$102.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $34.51 / $107.60	Professional		$29.96	$34.51	$107.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $12.68 / $39.36	Professional	26	$10.76	$12.68	$39.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.37 / $22.22 / $69.39	Professional	TC	$18.37	$22.22	$69.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $104.70 / $451.33	Professional		$71.73	$104.70	$451.33
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.25 / $39.78 / $280.14	Professional	26	$26.25	$39.78	$280.14
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.40 / $64.28 / $245.80	Professional	TC	$40.40	$64.28	$245.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $27.29 / $60.78	Professional		$15.99	$27.29	$60.78
United Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $70.36 / $105.93	Professional		$46.61	$70.36	$105.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.13 / $23.81 / $41.69	Professional	26	$17.13	$23.81	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.48 / $46.30 / $68.86	Professional	TC	$29.48	$46.30	$68.86