Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.63 / $23.56 / $32.58	Facility	26	$16.63	$23.56	$32.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $47.30 / $66.31	Professional		$28.39	$47.30	$66.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.75 / $15.88 / $25.77	Professional	26	$13.75	$15.88	$25.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.01 / $31.84 / $45.65	Professional	TC	$13.01	$31.84	$45.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $41.95 / $89.19	Professional		$15.96	$41.95	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $55.62 / $83.88	Professional		$34.25	$55.62	$83.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.06 / $20.38 / $32.42	Professional	26	$15.06	$20.38	$32.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.74 / $35.27 / $56.29	Professional	TC	$15.74	$35.27	$56.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $63.51 / $164.40	Professional		$44.43	$63.51	$164.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $21.53 / $92.46	Professional	26	$14.40	$21.53	$92.46
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $27.09 / $40.04 / $77.51	Professional	TC	$27.09	$40.04	$77.51
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 $52.51 / $53.53 / $57.85	Professional		$52.51	$53.53	$57.85
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.59 / $17.80 / $18.72	Professional	26	$17.59	$17.80	$18.72
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.26 / $34.71 / $39.13	Professional	TC	$33.26	$34.71	$39.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $32.34 / $60.52	Professional		$19.57	$32.34	$60.52
United Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $43.04 / $74.89	Professional		$25.24	$43.04	$74.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $18.36 / $30.43	Professional	26	$13.64	$18.36	$30.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.37 / $23.99 / $46.77	Professional	TC	$12.37	$23.99	$46.77