Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $100.09 / $219.78	Professional		$77.42	$100.09	$219.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.19 / $18.04 / $39.29	Professional	26	$16.19	$18.04	$39.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $82.19 / $180.48	Professional	TC	$60.10	$82.19	$180.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $112.15 / $164.22	Professional		$74.28	$112.15	$164.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.17 / $28.80 / $36.75	Professional	26	$16.17	$28.80	$36.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.59 / $89.88 / $132.32	Professional	TC	$55.59	$89.88	$132.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $32.34 / $83.17	Professional		$15.89	$32.34	$83.17
United Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $104.91 / $154.60	Professional		$58.73	$104.91	$154.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $21.44 / $39.02	Professional	26	$15.55	$21.44	$39.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.56 / $83.40 / $127.31	Professional	TC	$43.56	$83.40	$127.31