Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.59 / $33.54 / $36.00	Facility	26	$22.59	$33.54	$36.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $60.09 / $97.47	Professional		$39.60	$60.09	$97.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.48 / $38.61	Professional	26	$19.95	$23.48	$38.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $36.52 / $59.60	Professional	TC	$18.78	$36.52	$59.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $52.18 / $111.50	Professional		$22.13	$52.18	$111.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $71.95 / $107.50	Professional		$49.31	$71.95	$107.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.98 / $29.20 / $45.47	Professional	26	$20.98	$29.20	$45.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.96 / $41.42 / $65.84	Professional	TC	$22.96	$41.42	$65.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $79.41 / $145.63	Professional		$55.35	$79.41	$145.63
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.03 / $29.68 / $76.20	Professional	26	$20.03	$29.68	$76.20
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.86 / $47.13 / $78.55	Professional	TC	$32.86	$47.13	$78.55
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 $65.65 / $67.05 / $71.95	Professional		$65.65	$67.05	$71.95
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.66 / $24.80 / $25.94	Professional	26	$24.66	$24.80	$25.94
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.85 / $42.39 / $46.02	Professional	TC	$40.85	$42.39	$46.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $32.34 / $75.28	Professional		$27.13	$32.34	$75.28
United Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $58.26 / $93.48	Professional		$39.04	$58.26	$93.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.26 / $27.23 / $43.53	Professional	26	$19.26	$27.23	$43.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $29.52 / $51.97	Professional	TC	$16.98	$29.52	$51.97