Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.17 / $34.04 / $55.40	Facility	26	$24.17	$34.04	$55.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $55.53 / $90.74	Professional		$32.64	$55.53	$90.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $23.75 / $36.45	Professional	26	$19.55	$23.75	$36.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.75 / $33.18 / $47.21	Professional	TC	$10.75	$33.18	$47.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $60.73 / $60.73	Professional		$60.73	$60.73	$60.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $49.36 / $105.32	Professional		$22.85	$49.36	$105.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $65.45 / $97.55	Professional		$40.29	$65.45	$97.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.47 / $28.85 / $45.69	Professional	26	$21.47	$28.85	$45.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.79 / $37.04 / $59.39	Professional	TC	$13.79	$37.04	$59.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $74.77 / $131.68	Professional		$52.36	$74.77	$131.68
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $28.85 / $54.22	Professional	26	$20.50	$28.85	$54.22
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.49 / $42.27 / $72.41	Professional	TC	$28.49	$42.27	$72.41
Hally Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.76 / $68.06	Professional		$62.01	$62.76	$68.06
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.77 / $24.80 / $26.79	Professional	26	$22.77	$24.80	$26.79
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.09 / $36.63 / $41.29	Professional	TC	$35.09	$36.63	$41.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $32.34 / $71.20	Professional		$28.03	$32.34	$71.20
United Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $50.71 / $89.15	Professional		$31.87	$50.71	$89.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $25.74 / $43.71	Professional	26	$19.57	$25.74	$43.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.86 / $24.68 / $50.43	Professional	TC	$9.86	$24.68	$50.43