Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.97 / $183.92 / $215.40	Facility	26	$144.97	$183.92	$215.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $557.86 / $823.14	Professional		$475.00	$557.86	$823.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.96 / $144.97 / $215.40	Professional	26	$134.96	$144.97	$215.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $422.90 / $607.74	Professional	TC	$335.00	$422.90	$607.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.52 / $592.52 / $592.52	Professional		$592.52	$592.52	$592.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.29 / $631.66 / $950.79	Professional		$282.29	$631.66	$950.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.26 / $141.54 / $177.12	Professional	26	$72.26	$141.54	$177.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.03 / $481.88 / $776.56	Professional	TC	$210.03	$481.88	$776.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.59 / $261.73	Professional		$32.34	$70.59	$261.73
United Facility/Professional Professional Modifier Low / Median / High Price $344.12 / $421.20 / $993.42	Professional		$344.12	$421.20	$993.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.90 / $101.24 / $208.15	Professional	26	$71.90	$101.24	$208.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.51 / $330.68 / $798.48	Professional	TC	$249.51	$330.68	$798.48