Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $21.38	Professional	26	$7.94	$10.00	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $25.70 / $44.67	Professional	TC	$19.95	$25.70	$44.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.45 / $21.38	Professional	26	$9.12	$14.45	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.88 / $50.12	Professional	TC	$21.88	$33.88	$50.12
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.38 / $61.66	Professional	26	$12.88	$21.38	$61.66
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $45.71 / $117.49	Professional	TC	$29.51	$45.71	$117.49
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $13.18 / $14.13	Professional	26	$12.88	$13.18	$14.13
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $31.62 / $34.67	Professional	TC	$30.90	$31.62	$34.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.88 / $19.95	Professional	26	$10.23	$12.88	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $30.90 / $46.77	Professional	TC	$23.44	$30.90	$46.77