Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $270.69 / $270.69 / $270.69	Facility	26	$270.69	$270.69	$270.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.13 / $198.86 / $326.74	Professional		$173.13	$198.86	$326.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.89 / $102.57 / $193.65	Professional	26	$92.89	$102.57	$193.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.23 / $97.17 / $150.61	Professional	TC	$80.23	$97.17	$150.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $241.48 / $373.67	Professional		$128.29	$241.48	$373.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.87 / $132.79 / $395.73	Professional		$108.87	$132.79	$395.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.13 / $80.77 / $196.39	Professional	26	$56.13	$80.77	$196.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.27 / $60.76 / $199.80	Professional	TC	$43.27	$60.76	$199.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $377.15 / $646.47	Professional		$261.29	$377.15	$646.47
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $134.71 / $196.66 / $549.63	Professional	26	$134.71	$196.66	$549.63
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $107.59 / $163.01 / $502.65	Professional	TC	$107.59	$163.01	$502.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $157.32 / $345.10	Professional		$32.34	$157.32	$345.10
United Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $249.80 / $409.02	Professional		$149.88	$249.80	$409.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.58 / $137.18 / $227.61	Professional	26	$82.58	$137.18	$227.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.30 / $112.17 / $181.00	Professional	TC	$67.30	$112.17	$181.00