Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.46 / $23.10 / $31.94	Facility	26	$14.46	$23.10	$31.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $41.21 / $85.06	Professional		$34.96	$41.21	$85.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.05 / $15.30 / $33.32	Professional	26	$13.05	$15.30	$33.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $25.65 / $38.75	Professional	TC	$21.86	$25.65	$38.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $33.25 / $45.54	Professional		$31.97	$33.25	$45.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $14.82 / $16.87	Professional	26	$11.98	$14.82	$16.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $36.95 / $67.05	Professional		$15.59	$36.95	$67.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $52.92 / $81.53	Professional		$37.60	$52.92	$81.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.34 / $19.62 / $31.44	Professional	26	$14.34	$19.62	$31.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.60 / $32.68 / $49.61	Professional	TC	$23.60	$32.68	$49.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $55.34 / $196.07	Professional		$38.04	$55.34	$196.07
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.62 / $20.68 / $65.13	Professional	26	$14.62	$20.68	$65.13
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.79 / $33.42 / $121.67	Professional	TC	$21.79	$33.42	$121.67
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 $46.41 / $47.11 / $50.96	Professional		$46.41	$47.11	$50.96
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $17.45 / $18.28	Professional	26	$17.20	$17.45	$18.28
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.96 / $29.91 / $32.68	Professional	TC	$28.96	$29.91	$32.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $32.34 / $53.31	Professional		$19.12	$32.34	$53.31
United Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $45.66 / $75.30	Professional		$35.29	$45.66	$75.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.36 / $17.87 / $31.89	Professional	26	$13.36	$17.87	$31.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $28.39 / $47.66	Professional	TC	$21.94	$28.39	$47.66