Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $37.15	Facility	26	$20.89	$20.89	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $208.93	Professional		$112.20	$134.90	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $112.20 / $173.78	Professional	TC	$91.20	$112.20	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $213.80	Professional		$89.13	$147.91	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $120.23 / $162.18	Professional	TC	$72.44	$120.23	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $190.55	Professional		$85.11	$128.82	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $102.33 / $151.36	Professional	TC	$64.57	$102.33	$151.36