Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.83 / $70.29 / $89.65	Facility	26	$40.83	$70.29	$89.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $291.14 / $400.09	Professional		$177.51	$291.14	$400.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.32 / $225.91 / $310.44	Professional	TC	$140.32	$225.91	$310.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.00 / $362.00 / $362.00	Professional		$362.00	$362.00	$362.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.03 / $392.36 / $482.92	Professional		$207.03	$392.36	$482.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.81 / $317.60 / $377.42	Professional	TC	$162.81	$317.60	$377.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $184.78 / $241.46 / $503.05	Professional		$184.78	$241.46	$503.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.13 / $184.42 / $393.15	Professional	TC	$148.13	$184.42	$393.15