Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.87 / $27.98 / $38.90	Facility	26	$22.87	$27.98	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $29.73 / $45.90	Professional		$26.28	$29.73	$45.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.93 / $23.90 / $34.36	Professional	26	$17.93	$23.90	$34.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.55 / $14.87 / $22.95	Professional	52	$12.55	$14.87	$22.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.60 / $4.45 / $29.78	Professional	TC	$3.60	$4.45	$29.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $31.80 / $66.16	Professional		$27.07	$31.80	$66.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $43.28 / $78.08	Professional		$25.51	$43.28	$78.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $28.24 / $45.93	Professional	26	$19.73	$28.24	$45.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.51 / $5.89 / $45.68	Professional	TC	$3.51	$5.89	$45.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $38.95 / $157.90	Professional		$23.08	$38.95	$157.90
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.68 / $31.31 / $191.29	Professional	26	$18.68	$31.31	$191.29
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.32 / $5.35 / $191.29	Professional	TC	$3.32	$5.35	$191.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $32.69 / $40.39	Professional		$5.83	$32.69	$40.39
United Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $33.84 / $67.00	Professional		$25.28	$33.84	$67.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.17 / $22.70 / $42.81	Professional	26	$16.17	$22.70	$42.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $5.20 / $41.07	Professional	TC	$3.24	$5.20	$41.07