Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $77.62	Professional		$39.81	$51.29	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $12.59	Professional	26	$6.03	$7.94	$12.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $41.69 / $61.66	Professional	TC	$33.11	$41.69	$61.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Professional	26	$12.30	$12.30	$12.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $29.51 / $69.18	Professional		$9.77	$29.51	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $97.72	Professional		$38.90	$63.10	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.22 / $17.38	Professional	26	$7.08	$11.22	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $56.23 / $81.28	Professional	TC	$33.11	$56.23	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $109.65	Professional		$36.31	$70.79	$109.65
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $12.30 / $26.92	Professional	26	$6.61	$12.30	$26.92
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $52.48 / $89.13	Professional	TC	$26.30	$52.48	$89.13
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 $38.90 / $52.48 / $81.28	Professional		$38.90	$52.48	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.77 / $15.14	Professional	26	$7.08	$9.77	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $43.65 / $69.18	Professional	TC	$32.36	$43.65	$69.18