Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $35.46 / $141.60	Facility		$6.53	$35.46	$141.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.42 / $16.47 / $23.58	Facility	26	$7.42	$16.47	$23.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $13.24 / $30.21	Professional		$9.94	$13.24	$30.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $8.83 / $18.20	Professional	26	$6.81	$8.83	$18.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.04 / $12.27 / $15.37	Professional	50	$11.04	$12.27	$15.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.08 / $4.13 / $8.36	Professional	TC	$3.08	$4.13	$8.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $41.10 / $83.82	Facility		$26.69	$41.10	$83.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $16.45 / $26.28	Professional		$9.84	$16.45	$26.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $12.58 / $36.69	Facility		$8.64	$12.58	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $16.23 / $25.03	Professional		$10.27	$16.23	$25.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.00 / $16.89	Professional	26	$6.92	$11.00	$16.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.98 / $5.35 / $8.23	Professional	TC	$2.98	$5.35	$8.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $18.91 / $55.47	Professional		$13.00	$18.91	$55.47
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $12.58 / $60.96	Professional	26	$8.65	$12.58	$60.96
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.08 / $5.94 / $52.41	Professional	TC	$4.08	$5.94	$52.41
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $13.40 / $13.95 / $15.37	Professional		$13.40	$13.95	$15.37
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $9.53 / $10.22	Professional	26	$9.24	$9.53	$10.22
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.16 / $4.42 / $5.15	Professional	TC	$4.16	$4.42	$5.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $16.07 / $32.34	Professional		$5.39	$16.07	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $57.44 / $85.43	Facility		$36.72	$57.44	$85.43
United Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $15.77 / $23.53	Professional		$11.86	$15.77	$23.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.68 / $15.75	Professional	26	$8.30	$10.68	$15.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.60 / $5.37 / $7.90	Professional	TC	$3.60	$5.37	$7.90