Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.96 / $13.24 / $14.42	Facility	26	$7.96	$13.24	$14.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $38.11 / $101.13	Professional		$25.23	$38.11	$101.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $37.15 / $37.15	Professional	25	$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.02 / $29.91	Professional	26	$7.59	$9.02	$29.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.26 / $22.85 / $39.45	Professional	TC	$17.26	$22.85	$39.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.78 / $37.38	Professional		$22.39	$29.78	$37.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $8.88 / $10.77	Professional	26	$7.44	$8.88	$10.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.16 / $17.16 / $21.45	Professional	TC	$17.16	$17.16	$21.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $23.54 / $47.98	Professional		$9.07	$23.54	$47.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $41.53 / $68.31	Professional		$27.72	$41.53	$68.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $11.28 / $18.30	Professional	26	$8.14	$11.28	$18.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.16 / $29.53 / $49.24	Professional	TC	$19.16	$29.53	$49.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $41.54 / $156.87	Professional		$27.48	$41.54	$156.87
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $11.86 / $49.31	Professional	26	$8.34	$11.86	$49.31
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $29.00 / $107.44	Professional	TC	$18.98	$29.00	$107.44
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 $32.47 / $32.79 / $36.00	Professional		$32.47	$32.79	$36.00
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $10.03 / $10.63	Professional	26	$9.69	$10.03	$10.63
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $23.08 / $25.36	Professional	TC	$22.44	$23.08	$25.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $32.34 / $37.65	Professional		$11.12	$32.34	$37.65
United Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $44.48 / $80.00	Professional		$31.94	$44.48	$80.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.05 / $16.98	Professional	26	$7.76	$10.05	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.12 / $30.19 / $51.67	Professional	TC	$23.12	$30.19	$51.67