Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $28.84 / $51.29	Facility	26	$28.84	$28.84	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $144.54	Professional		$63.10	$77.62	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $33.11 / $64.57	Professional	26	$26.92	$33.11	$64.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	50	$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $44.67 / $79.43	Professional	TC	$36.31	$44.67	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $181.97	Professional		$58.88	$117.49	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $46.77 / $70.79	Professional	26	$23.44	$46.77	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $70.79 / $112.20	Professional	TC	$33.11	$70.79	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $33.11	Professional		$31.62	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $169.82	Professional		$70.79	$102.33	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $37.15 / $66.07	Professional	26	$27.54	$37.15	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $63.10 / $102.33	Professional	TC	$42.66	$63.10	$102.33