Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.47 / $109.47 / $109.47	Facility	26	$109.47	$109.47	$109.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.79 / $359.47 / $693.42	Professional		$302.79	$359.47	$693.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $40.03 / $80.45	Professional	26	$35.95	$40.03	$80.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.83 / $319.45 / $799.11	Professional	TC	$266.83	$319.45	$799.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $144.61 / $621.53	Professional		$51.88	$144.61	$621.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.09 / $227.10 / $687.64	Professional		$181.09	$227.10	$687.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.37 / $26.16 / $77.19	Professional	26	$22.37	$26.16	$77.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.71 / $200.38 / $625.90	Professional	TC	$158.71	$200.38	$625.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $434.60 / $637.89 / $1,386.30	Professional		$434.60	$637.89	$1,386.30
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.21 / $71.58 / $191.45	Professional	26	$49.21	$71.58	$191.45
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $351.75 / $516.74 / $954.36	Professional	TC	$351.75	$516.74	$954.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.62 / $592.63	Professional		$32.34	$63.62	$592.63
United Facility/Professional Professional Modifier Low / Median / High Price $280.69 / $450.40 / $681.32	Professional		$280.69	$450.40	$681.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.45 / $52.18 / $79.25	Professional	26	$31.45	$52.18	$79.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.24 / $399.51 / $599.26	Professional	TC	$249.24	$399.51	$599.26