Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.59 / $187.49 / $307.62	Facility	26	$119.59	$187.49	$307.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $331.82 / $414.86 / $574.10	Professional	TC	$331.82	$414.86	$574.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.76 / $132.76 / $132.76	Facility	26	$132.76	$132.76	$132.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $404.17 / $585.59 / $865.86	Professional	TC	$404.17	$585.59	$865.86
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.21 / $174.72 / $2,153.84	Professional	26	$117.21	$174.72	$2,153.84
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $423.43 / $590.63 / $4,323.50	Professional	TC	$423.43	$590.63	$4,323.50
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 TC Low / Median / High Price $479.32 / $501.84 / $563.90	Professional	TC	$479.32	$501.84	$563.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $354.60 / $504.03 / $802.85	Professional	TC	$354.60	$504.03	$802.85