Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $10.21 / $18.57	Professional	26	$8.49	$10.21	$18.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.48 / $26.28 / $40.08	Professional	TC	$21.48	$26.28	$40.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.88 / $14.58 / $22.77	Professional	26	$8.88	$14.58	$22.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.85 / $34.83 / $50.93	Professional	TC	$21.85	$34.83	$50.93
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $18.34 / $55.26	Professional	26	$12.99	$18.34	$55.26
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.47 / $42.98 / $94.49	Professional	TC	$29.47	$42.98	$94.49
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $13.25 / $14.04	Professional	26	$13.00	$13.25	$14.04
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.88 / $31.93 / $34.83	Professional	TC	$30.88	$31.93	$34.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $13.59 / $22.36	Professional	26	$10.83	$13.59	$22.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $32.77 / $50.74	Professional	TC	$24.52	$32.77	$50.74