Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $45.12 / $45.12	Facility	26	$45.12	$45.12	$45.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $77.70 / $147.54	Professional		$65.81	$77.70	$147.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.45 / $17.21 / $41.30	Professional	26	$15.45	$17.21	$41.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.36 / $60.53 / $107.91	Professional	TC	$50.36	$60.53	$107.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $67.72 / $133.09	Professional		$21.38	$67.72	$133.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $46.99 / $137.24	Professional		$37.38	$46.99	$137.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $12.10 / $33.24	Professional	26	$9.27	$12.10	$33.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.52 / $35.58 / $109.71	Professional	TC	$23.52	$35.58	$109.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $131.84 / $389.35	Professional		$87.50	$131.84	$389.35
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.21 / $32.45 / $149.41	Professional	26	$21.21	$32.45	$149.41
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $60.19 / $96.41 / $248.13	Professional	TC	$60.19	$96.41	$248.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $32.34 / $126.10	Professional		$28.34	$32.34	$126.10
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $94.10 / $139.40	Professional		$61.50	$94.10	$139.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.29 / $23.62 / $39.27	Professional	26	$14.29	$23.62	$39.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.21 / $70.01 / $119.01	Professional	TC	$47.21	$70.01	$119.01