Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $186.21 / $208.93	Facility	26	$120.23	$186.21	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $426.58 / $812.83	Professional	TC	$338.84	$426.58	$812.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $562.34 / $812.83	Professional	TC	$398.11	$562.34	$812.83
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $186.21 / $4,168.69	Professional	26	$114.82	$186.21	$4,168.69
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $588.84 / $4,677.35	Professional	TC	$389.05	$588.84	$4,677.35
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 $478.63 / $501.19 / $562.34	Professional	TC	$478.63	$501.19	$562.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $501.19 / $758.58	Professional	TC	$354.81	$501.19	$758.58