Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $64.57	Facility	26	$37.15	$37.15	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $165.96	Professional		$87.10	$109.65	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $66.07 / $114.82	Professional	TC	$53.70	$66.07	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $257.04	Professional		$75.86	$147.91	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $91.20 / $186.21	Professional	TC	$43.65	$91.20	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $51.29	Professional		$32.36	$33.11	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $269.15	Professional		$83.18	$114.82	$269.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $67.61 / $199.53	Professional	TC	$50.12	$67.61	$199.53