Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $426.58	Professional		$93.33	$123.03	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $47.86 / $218.78	Professional	26	$30.90	$47.86	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $87.10 / $208.93	Professional	TC	$67.61	$87.10	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $147.91 / $229.09	Professional		$44.67	$147.91	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $263.03	Professional		$67.61	$112.20	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $40.74 / $72.44	Professional	26	$19.50	$40.74	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $66.07 / $186.21	Professional	TC	$47.86	$66.07	$186.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $616.60	Professional		$162.18	$245.47	$616.60
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $70.79 / $346.74	Professional	26	$44.67	$70.79	$346.74
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $151.36 / $316.23	Professional	TC	$95.50	$151.36	$316.23
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 $83.18 / $147.91 / $234.42	Professional		$83.18	$147.91	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $45.71 / $74.13	Professional	26	$26.92	$45.71	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $100.00 / $169.82	Professional	TC	$56.23	$100.00	$169.82