Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.99 / $11.61 / $12.98	Facility	26	$7.99	$11.61	$12.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $33.97 / $135.13	Professional		$25.64	$33.97	$135.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $10.22 / $34.00	Professional	26	$6.97	$10.22	$34.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.01 / $23.23 / $42.49	Professional	TC	$18.01	$23.23	$42.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $21.08 / $27.56	Professional		$21.08	$21.08	$27.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.55 / $8.50 / $9.42	Professional	26	$7.55	$8.50	$9.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $24.85 / $49.48	Professional		$7.98	$24.85	$49.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $37.39 / $69.64	Professional		$24.87	$37.39	$69.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $10.36 / $15.45	Professional	26	$7.42	$10.36	$15.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $26.58 / $54.18	Professional	TC	$18.41	$26.58	$54.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $39.57 / $241.89	Professional		$27.20	$39.57	$241.89
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $11.14 / $43.15	Professional	26	$7.91	$11.14	$43.15
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.29 / $28.15 / $192.36	Professional	TC	$19.29	$28.15	$192.36
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 $29.13 / $29.78 / $32.15	Professional		$29.13	$29.78	$32.15
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $8.80 / $9.35	Professional	26	$8.46	$8.80	$9.35
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $21.33 / $22.80	Professional	TC	$20.32	$21.33	$22.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $22.41 / $32.34	Professional		$10.79	$22.41	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $40.01 / $64.65	Professional		$25.86	$40.01	$64.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $10.06 / $16.27	Professional	26	$7.56	$10.06	$16.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.50 / $27.03 / $48.27	Professional	TC	$18.50	$27.03	$48.27