Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $359.23 / $486.27 / $677.90	Facility	26	$359.23	$486.27	$677.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.82 / $1,230.83 / $1,833.93	Professional		$1,012.82	$1,230.83	$1,833.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $284.63 / $359.23 / $1,105.83	Professional	26	$284.63	$359.23	$1,105.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $728.19 / $871.60 / $1,350.98	Professional	TC	$728.19	$871.60	$1,350.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $269.20 / $269.20 / $427.25	Professional	26	$269.20	$269.20	$427.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.78 / $1,009.97 / $2,010.78	Professional		$348.78	$1,009.97	$2,010.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.68 / $1,518.02 / $2,139.03	Professional		$1,087.68	$1,518.02	$2,139.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $316.16 / $450.90 / $629.04	Professional	26	$316.16	$450.90	$629.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $751.04 / $1,052.58 / $1,461.17	Professional	TC	$751.04	$1,052.58	$1,461.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.76 / $1,457.10 / $3,991.38	Professional		$1,001.76	$1,457.10	$3,991.38
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $320.77 / $455.73 / $1,386.98	Professional	26	$320.77	$455.73	$1,386.98
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $716.86 / $970.08 / $1,757.00	Professional	TC	$716.86	$970.08	$1,757.00
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 $1,179.45 / $1,183.90 / $1,322.48	Professional		$1,179.45	$1,183.90	$1,322.48
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $328.03 / $370.28 / $408.84	Professional	26	$328.03	$370.28	$408.84
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $776.59 / $813.62 / $913.64	Professional	TC	$776.59	$813.62	$913.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $427.71 / $1,383.51	Professional		$32.34	$427.71	$1,383.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.48 / $1,556.04 / $2,634.54	Professional		$1,097.48	$1,556.04	$2,634.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $322.73 / $485.58 / $723.82	Professional	26	$322.73	$485.58	$723.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $751.74 / $1,093.84 / $1,847.57	Professional	TC	$751.74	$1,093.84	$1,847.57