Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $125.89 / $128.82	Facility	26	$70.79	$125.89	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $446.68	Professional		$218.78	$263.03	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $70.79 / $125.89	Professional	26	$54.95	$70.79	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $194.98 / $331.13	Professional	TC	$158.49	$194.98	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $1,000.00	Professional		$181.97	$371.54	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $89.13 / $117.49	Professional	26	$51.29	$89.13	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $263.03 / $912.01	Professional	TC	$128.82	$263.03	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $933.25	Professional		$190.55	$281.84	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $123.03	Professional	26	$47.86	$69.18	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $199.53 / $794.33	Professional	TC	$138.04	$199.53	$794.33