Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.74 / $32.74 / $32.74	Facility	26	$32.74	$32.74	$32.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $26.02 / $45.89	Professional		$22.90	$26.02	$45.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.64 / $20.66 / $29.03	Professional	26	$17.64	$20.66	$29.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.76 / $4.45 / $26.54	Professional	TC	$3.76	$4.45	$26.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $27.83 / $57.67	Professional		$22.74	$27.83	$57.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $38.64 / $74.79	Professional		$22.24	$38.64	$74.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.36 / $25.95 / $39.79	Professional	26	$18.36	$25.95	$39.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.64 / $6.47 / $40.15	Professional	TC	$3.64	$6.47	$40.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $34.09 / $168.20	Professional		$20.20	$34.09	$168.20
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.50 / $26.78 / $193.60	Professional	26	$16.50	$26.78	$193.60
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.59 / $5.87 / $193.60	Professional	TC	$3.59	$5.87	$193.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $30.33 / $35.35	Professional		$6.28	$30.33	$35.35
United Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $31.96 / $61.99	Professional		$21.74	$31.96	$61.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.54 / $21.21 / $35.14	Professional	26	$17.54	$21.21	$35.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.46 / $5.83 / $36.27	Professional	TC	$3.46	$5.83	$36.27