Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $134.90	Professional		$52.48	$66.07	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.38 / $70.79	Professional	26	$18.20	$21.38	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $44.67 / $89.13	Professional	TC	$30.90	$44.67	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $75.86 / $131.83	Professional		$27.54	$75.86	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $134.90	Professional		$30.20	$41.69	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.45 / $40.74	Professional	26	$11.75	$14.45	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $29.51 / $95.50	Professional	TC	$17.78	$29.51	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $151.36	Professional		$77.62	$107.15	$151.36
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $39.81 / $87.10	Professional	26	$25.70	$39.81	$87.10
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $70.79 / $107.15	Professional	TC	$30.90	$70.79	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $104.71	Professional		$43.65	$63.10	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $25.70 / $40.74	Professional	26	$16.22	$25.70	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $36.31 / $64.57	Professional	TC	$26.92	$36.31	$64.57