Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.06 / $18.55 / $36.15	Facility	26	$12.06	$18.55	$36.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $12.06 / $26.60	Professional	26	$9.18	$12.06	$26.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $18.10 / $40.36	Professional	TC	$15.02	$18.10	$40.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Professional	26	$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.18 / $34.34 / $57.62	Professional	26	$25.18	$34.34	$57.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.21 / $50.02 / $77.43	Professional	TC	$35.21	$50.02	$77.43
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.62 / $34.10 / $61.33	Professional	26	$23.62	$34.10	$61.33
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.15 / $47.58 / $94.01	Professional	TC	$32.15	$47.58	$94.01
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 26 Low / Median / High Price $27.11 / $29.80 / $31.89	Professional	26	$27.11	$29.80	$31.89
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.47 / $41.24 / $46.45	Professional	TC	$39.47	$41.24	$46.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.60 / $29.16 / $40.81	Professional	26	$22.60	$29.16	$40.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.43 / $43.14 / $55.72	Professional	TC	$33.43	$43.14	$55.72