Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $110.73 / $147.88	Professional		$73.29	$110.73	$147.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.09 / $18.79 / $30.38	Professional	26	$15.09	$18.79	$30.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.11 / $90.11 / $118.24	Professional	TC	$60.11	$90.11	$118.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $84.74 / $229.36	Professional		$23.75	$84.74	$229.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $129.77 / $197.35	Professional		$69.30	$129.77	$197.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $25.62 / $39.84	Professional	26	$15.93	$25.62	$39.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.59 / $104.26 / $163.19	Professional	TC	$50.59	$104.26	$163.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $173.01 / $327.49	Professional		$111.95	$173.01	$327.49
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.70 / $32.24 / $67.28	Professional	26	$22.70	$32.24	$67.28
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $84.31 / $141.21 / $265.07	Professional	TC	$84.31	$141.21	$265.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $132.30 / $142.53	Professional		$128.16	$132.30	$142.53
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.70 / $23.28 / $24.67	Professional	26	$22.70	$23.28	$24.67
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $104.90 / $109.60 / $117.86	Professional	TC	$104.90	$109.60	$117.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $32.34 / $149.11	Professional		$25.81	$32.34	$149.11
United Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $121.35 / $197.73	Professional		$76.59	$121.35	$197.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $24.00 / $36.56	Professional	26	$18.94	$24.00	$36.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.42 / $99.58 / $166.84	Professional	TC	$59.42	$99.58	$166.84