Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.94 / $28.50 / $34.36	Facility	26	$19.94	$28.50	$34.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $52.90 / $95.20	Professional		$38.36	$52.90	$95.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.60 / $21.44 / $34.92	Professional	26	$18.60	$21.44	$34.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $32.18 / $53.07	Professional	TC	$16.44	$32.18	$53.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $19.07 / $19.07	Professional	26	$19.07	$19.07	$19.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $45.35 / $96.79	Professional		$19.23	$45.35	$96.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $62.53 / $96.20	Professional		$46.00	$62.53	$96.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.53 / $45.69	Professional	26	$18.20	$26.53	$45.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $36.29 / $57.53	Professional	TC	$20.22	$36.29	$57.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $70.14 / $180.45	Professional		$48.10	$70.14	$180.45
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $26.01 / $72.91	Professional	26	$17.37	$26.01	$72.91
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.34 / $40.94 / $76.93	Professional	TC	$28.34	$40.94	$76.93
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 $56.99 / $58.10 / $62.53	Professional		$56.99	$58.10	$62.53
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.33 / $21.50 / $22.54	Professional	26	$21.33	$21.50	$22.54
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.00 / $35.47 / $40.00	Professional	TC	$34.00	$35.47	$40.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $32.34 / $65.42	Professional		$23.58	$32.34	$65.42
United Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $53.71 / $82.33	Professional		$36.11	$53.71	$82.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $25.97 / $40.04	Professional	26	$17.75	$25.97	$40.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.85 / $26.19 / $46.90	Professional	TC	$14.85	$26.19	$46.90