Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $51.29	Professional		$21.88	$25.70	$51.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $26.92	Professional	26	$18.20	$20.89	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $23.99	Professional	TC	$3.02	$3.98	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $47.86	Professional		$22.91	$27.54	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $36.31 / $77.62	Professional		$21.38	$36.31	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $25.70 / $39.81	Professional	26	$17.38	$25.70	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $6.31 / $39.81	Professional	TC	$3.55	$6.31	$39.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $41.69 / $173.78	Professional		$20.42	$41.69	$173.78
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $28.18 / $223.87	Professional	26	$16.60	$28.18	$223.87
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $7.08 / $223.87	Professional	TC	$3.31	$7.08	$223.87
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 $20.89 / $32.36 / $66.07	Professional		$20.89	$32.36	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.38 / $35.48	Professional	26	$17.38	$21.38	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $5.50 / $39.81	Professional	TC	$3.31	$5.50	$39.81