Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.72 / $3.70 / $8.86	Facility	26	$2.72	$3.70	$8.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $19.43 / $35.42	Professional		$13.86	$19.43	$35.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.54 / $3.88 / $7.07	Professional	26	$2.54	$3.88	$7.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.14 / $15.87 / $26.35	Professional	TC	$11.14	$15.87	$26.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $12.71 / $12.71	Professional		$12.71	$12.71	$12.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.69 / $2.69 / $2.82	Professional	26	$2.69	$2.69	$2.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $12.94 / $27.53	Professional		$3.26	$12.94	$27.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $24.97 / $45.26	Professional		$15.47	$24.97	$45.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.92 / $5.12 / $9.99	Professional	26	$2.92	$5.12	$9.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.28 / $19.60 / $35.79	Professional	TC	$12.28	$19.60	$35.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $23.12 / $60.10	Professional		$15.09	$23.12	$60.10
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2.84 / $4.41 / $16.13	Professional	26	$2.84	$4.41	$16.13
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.18 / $17.71 / $43.79	Professional	TC	$12.18	$17.71	$43.79
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 $17.67 / $17.84 / $20.16	Professional		$17.67	$17.84	$20.16
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.04 / $3.45 / $3.82	Professional	26	$3.04	$3.45	$3.82
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $14.39 / $14.63 / $16.34	Professional	TC	$14.39	$14.63	$16.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $21.71 / $32.34	Professional		$4.00	$21.71	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $27.82 / $45.04	Professional		$19.47	$27.82	$45.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.96 / $6.17 / $10.00	Professional	26	$3.96	$6.17	$10.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.34 / $21.63 / $35.61	Professional	TC	$15.34	$21.63	$35.61