Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.45 / $57.45 / $57.45	Facility	26	$57.45	$57.45	$57.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $66.16 / $102.55	Professional		$47.46	$66.16	$102.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $21.16 / $40.95	Professional	26	$18.94	$21.16	$40.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $45.00 / $69.75	Professional	TC	$27.21	$45.00	$69.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $75.89 / $130.80	Professional		$27.23	$75.89	$130.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $42.05 / $131.19	Professional		$29.45	$42.05	$131.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.70 / $13.40 / $40.51	Professional	26	$11.70	$13.40	$40.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.92 / $29.77 / $94.94	Professional	TC	$14.92	$29.77	$94.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $110.16 / $168.18	Professional		$77.73	$110.16	$168.18
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.01 / $39.78 / $77.00	Professional	26	$27.01	$39.78	$77.00
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.78 / $71.45 / $119.08	Professional	TC	$30.78	$71.45	$119.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.39 / $123.61	Professional		$32.34	$33.39	$123.61
United Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $65.20 / $116.69	Professional		$43.47	$65.20	$116.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.28 / $25.74 / $40.95	Professional	26	$16.28	$25.74	$40.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.19 / $38.25 / $71.59	Professional	TC	$27.19	$38.25	$71.59