Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	26	$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $323.59	Professional		$169.82	$213.80	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $169.82 / $251.19	Professional	TC	$131.83	$169.82	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $380.19	Professional		$199.53	$257.04	$380.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $199.53 / $269.15	Professional	TC	$154.88	$199.53	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $512.86	Professional		$239.88	$295.12	$512.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $229.09 / $389.05	Professional	TC	$190.55	$229.09	$389.05
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 $204.17 / $251.19 / $398.11	Professional		$204.17	$251.19	$398.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $199.53 / $323.59	Professional	TC	$162.18	$199.53	$323.59