Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.59 / $184.12 / $204.24	Professional		$83.59	$184.12	$204.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.91 / $58.92 / $65.36	Professional	26	$25.91	$58.92	$65.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.67 / $125.20 / $138.88	Professional	TC	$57.67	$125.20	$138.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.21 / $238.21 / $238.21	Professional		$238.21	$238.21	$238.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $112.31 / $390.57	Professional		$51.05	$112.31	$390.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $37.68 / $114.83	Professional	26	$15.52	$37.68	$114.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.92 / $74.63 / $275.75	Professional	TC	$33.92	$74.63	$275.75
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 $62.49 / $129.21 / $303.51	Professional		$62.49	$129.21	$303.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $39.29 / $99.68	Professional	26	$20.97	$39.29	$99.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $87.34 / $211.36	Professional	TC	$47.64	$87.34	$211.36