Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $162.18	Facility	26	$81.28	$81.28	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,584.89	Professional		$758.58	$977.24	$1,584.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $676.08 / $870.96 / $1,445.44	Professional	TC	$676.08	$870.96	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,445.44	Professional		$660.69	$1,000.00	$1,445.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $575.44 / $870.96 / $1,548.82	Professional	TC	$575.44	$870.96	$1,548.82
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 $489.78 / $741.31 / $1,096.48	Professional		$489.78	$741.31	$1,096.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $645.65 / $912.01	Professional	TC	$275.42	$645.65	$912.01