Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $7.33 / $36.15	Facility	26	$7.31	$7.33	$36.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $7.84 / $45.38	Professional	26	$6.12	$7.84	$45.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $23.21 / $78.81	Professional	TC	$19.44	$23.21	$78.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.02 / $29.44 / $33.11	Professional	26	$26.02	$29.44	$33.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.71 / $34.34 / $53.88	Professional	26	$24.71	$34.34	$53.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.31 / $106.99 / $174.13	Professional	TC	$75.31	$106.99	$174.13
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.32 / $33.36 / $61.33	Professional	26	$23.32	$33.36	$61.33
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $56.50 / $99.35 / $170.90	Professional	TC	$56.50	$99.35	$170.90
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 26 Low / Median / High Price $27.11 / $29.80 / $31.89	Professional	26	$27.11	$29.80	$31.89
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $84.44 / $88.22 / $99.35	Professional	TC	$84.44	$88.22	$99.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.60 / $29.16 / $37.67	Professional	26	$22.60	$29.16	$37.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.51 / $92.68 / $128.05	Professional	TC	$69.51	$92.68	$128.05