Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $23.44 / $24.55	Facility	26	$15.85	$23.44	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $83.18	Professional		$41.69	$52.48	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $26.30	Professional	26	$12.88	$15.85	$26.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $36.31 / $57.54	Professional	TC	$28.84	$36.31	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $38.90 / $83.18	Professional		$15.14	$38.90	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $114.82	Professional		$45.71	$64.57	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $20.42 / $33.88	Professional	26	$14.45	$20.42	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $43.65 / $81.28	Professional	TC	$29.51	$43.65	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $169.82	Professional		$39.81	$69.18	$169.82
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $20.42 / $67.61	Professional	26	$13.49	$20.42	$67.61
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $41.69 / $107.15	Professional	TC	$25.70	$41.69	$107.15
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 $48.98 / $50.12 / $53.70	Professional		$48.98	$50.12	$53.70
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $16.98 / $17.78	Professional	26	$16.98	$16.98	$17.78
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $33.11 / $36.31	Professional	TC	$32.36	$33.11	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $102.33	Professional		$47.86	$67.61	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $19.50 / $30.90	Professional	26	$13.80	$19.50	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $46.77 / $72.44	Professional	TC	$33.11	$46.77	$72.44