Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.65 / $50.44 / $55.01	Facility	26	$34.65	$50.44	$55.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $72.45 / $115.53	Professional		$52.53	$72.45	$115.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.60 / $36.13 / $60.58	Professional	26	$30.60	$36.13	$60.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $37.18 / $61.91	Professional	TC	$19.32	$37.18	$61.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $67.66 / $134.71	Professional		$34.10	$67.66	$134.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $86.86 / $128.72	Professional		$63.02	$86.86	$128.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.22 / $45.10 / $71.19	Professional	26	$32.22	$45.10	$71.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.07 / $42.16 / $66.43	Professional	TC	$24.07	$42.16	$66.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $96.40 / $236.79	Professional		$66.48	$96.40	$236.79
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.75 / $43.57 / $107.87	Professional	26	$30.75	$43.57	$107.87
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.52 / $47.58 / $89.33	Professional	TC	$32.52	$47.58	$89.33
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 $79.31 / $80.47 / $86.42	Professional		$79.31	$80.47	$86.42
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $37.67 / $39.97	Professional	26	$33.97	$37.67	$39.97
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.47 / $41.24 / $46.45	Professional	TC	$39.47	$41.24	$46.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.44 / $90.41	Professional		$32.34	$38.44	$90.41
United Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $71.73 / $115.91	Professional		$49.85	$71.73	$115.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.25 / $40.65 / $65.38	Professional	26	$29.25	$40.65	$65.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.69 / $30.40 / $54.78	Professional	TC	$17.69	$30.40	$54.78