Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.70 / $37.36 / $47.66	Facility	26	$21.70	$37.36	$47.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $196.73 / $270.35	Professional		$112.53	$196.73	$270.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.76 / $162.05 / $222.69	Professional	TC	$92.76	$162.05	$222.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $159.00 / $159.00	Professional		$159.00	$159.00	$159.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $156.78 / $211.38	Professional		$95.95	$156.78	$211.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.61 / $124.12 / $163.87	Professional	TC	$72.61	$124.12	$163.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $89.59	Professional		$32.34	$32.34	$89.59
United Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $132.09 / $219.51	Professional		$87.22	$132.09	$219.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.51 / $103.03 / $172.78	Professional	TC	$64.51	$103.03	$172.78