Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.29 / $34.27 / $34.27	Facility	26	$18.29	$34.27	$34.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $45.30 / $134.22	Professional		$29.83	$45.30	$134.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $25.19 / $40.64	Professional	26	$16.63	$25.19	$40.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.20 / $19.70 / $94.03	Professional	TC	$13.20	$19.70	$94.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $39.54 / $58.77	Professional		$23.25	$39.54	$58.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $61.06 / $161.60	Professional		$36.36	$61.06	$161.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.97 / $32.07 / $52.89	Professional	26	$19.97	$32.07	$52.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.05 / $27.33 / $115.66	Professional	TC	$16.05	$27.33	$115.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $65.98 / $263.10	Professional		$44.94	$65.98	$263.10
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $35.78 / $218.32	Professional	26	$25.05	$35.78	$218.32
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $28.58 / $118.40	Professional	TC	$19.64	$28.58	$118.40
Hally Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $46.88 / $50.47	Professional		$46.36	$46.88	$50.47
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.82 / $25.84 / $27.25	Professional	26	$25.82	$25.84	$27.25
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $21.06 / $23.22	Professional	TC	$20.53	$21.06	$23.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $32.34 / $52.80	Professional		$22.11	$32.34	$52.80
United Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $63.39 / $161.35	Professional		$39.36	$63.39	$161.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.36 / $33.21 / $56.46	Professional	26	$22.36	$33.21	$56.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $29.05 / $114.79	Professional	TC	$16.96	$29.05	$114.79