Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.09 / $41.14 / $44.68	Facility	26	$29.09	$41.14	$44.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $64.87 / $109.49	Professional		$44.45	$64.87	$109.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.31 / $29.09 / $56.19	Professional	26	$25.31	$29.09	$56.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $35.85 / $58.46	Professional	TC	$18.41	$35.85	$58.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $55.56 / $118.91	Professional		$27.57	$55.56	$118.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $76.62 / $116.26	Professional		$53.60	$76.62	$116.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.97 / $36.04 / $55.50	Professional	26	$25.97	$36.04	$55.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.55 / $39.97 / $63.72	Professional	TC	$22.55	$39.97	$63.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $86.18 / $155.07	Professional		$58.94	$86.18	$155.07
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.86 / $37.13 / $90.59	Professional	26	$24.86	$37.13	$90.59
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.75 / $45.36 / $79.18	Professional	TC	$31.75	$45.36	$79.18
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 $70.02 / $70.98 / $76.62	Professional		$70.02	$70.98	$76.62
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $30.69 / $32.32	Professional	26	$30.20	$30.69	$32.32
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.65 / $39.31 / $44.29	Professional	TC	$37.65	$39.31	$44.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $80.16	Professional		$32.34	$32.34	$80.16
United Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $62.23 / $102.68	Professional		$41.96	$62.23	$102.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.96 / $33.88 / $54.91	Professional	26	$23.96	$33.88	$54.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.57 / $29.18 / $52.35	Professional	TC	$16.57	$29.18	$52.35