Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.76 / $33.76 / $33.76	Facility	26	$33.76	$33.76	$33.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $44.10 / $73.62	Professional		$35.52	$44.10	$73.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $19.92 / $33.76	Professional	26	$16.14	$19.92	$33.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $24.19 / $50.36	Professional	TC	$19.39	$24.19	$50.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $47.40 / $70.44	Professional		$22.51	$47.40	$70.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $60.79 / $96.31	Professional		$39.45	$60.79	$96.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $25.85 / $41.72	Professional	26	$17.97	$25.85	$41.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $35.72 / $55.12	Professional	TC	$21.69	$35.72	$55.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $61.03 / $123.03	Professional		$37.40	$61.03	$123.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $26.39 / $70.70	Professional	26	$16.23	$26.39	$70.70
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $30.36 / $68.15	Professional	TC	$18.77	$30.36	$68.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $32.84 / $65.45	Professional		$27.61	$32.84	$65.45
United Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $52.05 / $89.34	Professional		$39.77	$52.05	$89.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.91 / $33.40	Professional	26	$16.98	$20.91	$33.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $30.89 / $50.53	Professional	TC	$22.26	$30.89	$50.53