Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $49.62 / $74.77	Professional		$39.90	$49.62	$74.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $8.09 / $12.57	Professional	26	$6.81	$8.09	$12.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.06 / $41.48 / $62.21	Professional	TC	$33.06	$41.48	$62.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $31.77 / $80.55	Professional		$9.80	$31.77	$80.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $63.53 / $101.90	Professional		$39.04	$63.53	$101.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $11.25 / $18.35	Professional	26	$7.37	$11.25	$18.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.40 / $52.56 / $85.38	Professional	TC	$32.40	$52.56	$85.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $66.59 / $110.15	Professional		$37.54	$66.59	$110.15
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $11.85 / $23.04	Professional	26	$6.65	$11.85	$23.04
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.77 / $52.74 / $88.68	Professional	TC	$30.77	$52.74	$88.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $32.34 / $74.11	Professional		$12.02	$32.34	$74.11
United Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $53.85 / $83.67	Professional		$40.70	$53.85	$83.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $9.85 / $14.82	Professional	26	$7.49	$9.85	$14.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.49 / $44.10 / $69.26	Professional	TC	$32.49	$44.10	$69.26