Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.42 / $26.31 / $57.76	Facility	26	$24.42	$26.31	$57.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $117.41 / $173.08	Professional		$75.76	$117.41	$173.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.33 / $86.27 / $115.31	Professional	TC	$51.33	$86.27	$115.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $145.00	Professional		$145.00	$145.00	$145.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $129.46 / $209.38	Professional		$73.31	$129.46	$209.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.82 / $99.70 / $148.09	Professional	TC	$49.82	$99.70	$148.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $32.34 / $67.86	Professional		$23.04	$32.34	$67.86
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $106.26 / $196.29	Professional		$74.45	$106.26	$196.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.54 / $70.55 / $129.69	Professional	TC	$48.54	$70.55	$129.69