Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.34 / $53.68 / $76.40	Facility	26	$35.34	$53.68	$76.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $98.92 / $166.02	Professional		$64.31	$98.92	$166.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $34.82 / $64.69	Professional	26	$29.75	$34.82	$64.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $65.26 / $91.82	Professional	TC	$33.03	$65.26	$91.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $95.73 / $155.55	Professional		$37.76	$95.73	$155.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.61 / $38.61 / $38.61	Facility	26	$38.61	$38.61	$38.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $128.41 / $189.89	Professional		$60.53	$128.41	$189.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $47.67 / $74.25	Professional	26	$34.67	$47.67	$74.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.38 / $80.26 / $126.22	Professional	TC	$20.38	$80.26	$126.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $142.12 / $325.26	Professional		$91.40	$142.12	$325.26
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.86 / $49.76 / $184.55	Professional	26	$34.86	$49.76	$184.55
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $87.75 / $174.33	Professional	TC	$34.67	$87.75	$174.33
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 $119.78 / $122.46 / $132.02	Professional		$119.78	$122.46	$132.02
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.03 / $41.73 / $44.27	Professional	26	$41.03	$41.73	$44.27
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $78.05 / $81.43 / $87.75	Professional	TC	$78.05	$81.43	$87.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.40 / $138.11	Professional		$32.34	$37.40	$138.11
United Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $103.86 / $185.18	Professional		$65.18	$103.86	$185.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $48.48 / $75.42	Professional	26	$32.15	$48.48	$75.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $59.78 / $109.50	Professional	TC	$24.90	$59.78	$109.50