Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $295.12	Facility	26	$128.82	$128.82	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $831.76	Professional		$338.84	$380.19	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $112.20 / $199.53	Professional	26	$100.00	$112.20	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $269.15 / $478.63	Professional	TC	$229.09	$269.15	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $549.54	Professional		$223.87	$331.13	$549.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $141.25 / $239.88	Professional	26	$102.33	$141.25	$239.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $218.78 / $309.03	Professional	TC	$36.31	$218.78	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $812.83	Professional		$346.74	$407.38	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $147.91 / $239.88	Professional	26	$120.23	$147.91	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $263.03 / $537.03	Professional	TC	$213.80	$263.03	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $691.83	Professional		$269.15	$398.11	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $131.83 / $218.78	Professional	26	$97.72	$131.83	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $257.04 / $446.68	Professional	TC	$181.97	$257.04	$446.68