Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.00 / $151.51 / $193.24	Facility	26	$88.00	$151.51	$193.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $220.70 / $290.43	Professional		$122.43	$220.70	$290.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.00 / $76.20 / $97.19	Professional	TC	$42.00	$76.20	$97.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $264.00 / $264.00	Professional		$264.00	$264.00	$264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $213.94 / $309.74	Professional		$122.19	$213.94	$309.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.01 / $68.76 / $114.03	Professional	TC	$43.01	$68.76	$114.03
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 $121.77 / $167.58 / $349.13	Professional		$121.77	$167.58	$349.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.81 / $53.09 / $110.60	Professional	TC	$40.81	$53.09	$110.60