Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $245.47	Professional		$89.13	$131.83	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $42.66 / $79.43	Professional	26	$26.92	$42.66	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $89.13 / $165.96	Professional	TC	$63.10	$89.13	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $338.84	Professional		$64.57	$131.83	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $45.71 / $123.03	Professional	26	$19.50	$45.71	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $85.11 / $213.80	Professional	TC	$45.71	$85.11	$213.80
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 $72.44 / $147.91 / $295.12	Professional		$72.44	$147.91	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $47.86 / $117.49	Professional	26	$25.70	$47.86	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $95.50 / $194.98	Professional	TC	$46.77	$95.50	$194.98