Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.91 / $130.91 / $130.91	Facility	26	$130.91	$130.91	$130.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.26 / $512.23 / $793.96	Professional		$405.26	$512.23	$793.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.40 / $48.22 / $74.73	Professional	26	$43.40	$48.22	$74.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $361.00 / $464.02 / $719.23	Professional	TC	$361.00	$464.02	$719.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $172.93 / $856.15	Professional		$62.04	$172.93	$856.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.56 / $444.73 / $898.49	Professional		$285.56	$444.73	$898.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.36 / $45.66 / $88.64	Professional	26	$28.36	$45.66	$88.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.25 / $399.98 / $809.84	Professional	TC	$257.25	$399.98	$809.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $598.66 / $873.06 / $1,418.00	Professional		$598.66	$873.06	$1,418.00
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.93 / $85.71 / $196.29	Professional	26	$58.93	$85.71	$196.29
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $493.49 / $716.37 / $1,272.92	Professional	TC	$493.49	$716.37	$1,272.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $76.09 / $817.20	Professional		$32.34	$76.09	$817.20
United Facility/Professional Professional Modifier Low / Median / High Price $367.36 / $562.89 / $864.77	Professional		$367.36	$562.89	$864.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $58.87 / $84.24	Professional	26	$37.15	$58.87	$84.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $330.20 / $500.85 / $748.45	Professional	TC	$330.20	$500.85	$748.45