Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $221.24 / $245.42	Professional		$98.92	$221.24	$245.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.77 / $72.15 / $80.04	Professional	26	$31.77	$72.15	$80.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.15 / $149.09 / $165.38	Professional	TC	$67.15	$149.09	$165.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $210.95 / $210.95	Professional		$210.95	$210.95	$210.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $130.69 / $338.72	Professional		$65.09	$130.69	$338.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.66 / $45.68 / $123.34	Professional	26	$19.66	$45.68	$123.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.12 / $85.03 / $213.81	Professional	TC	$45.12	$85.03	$213.81
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 $72.72 / $133.88 / $322.66	Professional		$72.72	$133.88	$322.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.41 / $47.64 / $120.76	Professional	26	$25.41	$47.64	$120.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.15 / $91.41 / $201.90	Professional	TC	$44.15	$91.41	$201.90