Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $93.78 / $125.57	Facility		$25.20	$93.78	$125.57
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.07 / $48.32 / $61.63	Facility	26	$28.07	$48.32	$61.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $73.53 / $101.71	Professional		$40.32	$73.53	$101.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.81 / $45.34 / $61.63	Professional	26	$25.81	$45.34	$61.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.50 / $25.20 / $42.82	Professional	TC	$14.50	$25.20	$42.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.02 / $145.02 / $159.52	Facility		$145.02	$145.02	$159.52
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 Facility Modifier Low / Median / High Price $50.22 / $97.20 / $153.08	Facility		$50.22	$97.20	$153.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $100.82 / $166.40	Professional		$40.19	$100.82	$166.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $58.25 / $90.84	Professional	26	$25.80	$58.25	$90.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.39 / $41.45 / $76.65	Professional	TC	$14.39	$41.45	$76.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $32.34 / $32.34	Professional		$24.71	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $174.35 / $174.35 / $174.35	Facility		$174.35	$174.35	$174.35
United Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $71.89 / $164.55	Professional		$48.39	$71.89	$164.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.63 / $39.26 / $86.05	Professional	26	$28.63	$39.26	$86.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.42 / $27.55 / $72.41	Professional	TC	$18.42	$27.55	$72.41