Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.89 / $312.83 / $577.34	Professional		$250.89	$312.83	$577.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.64 / $75.84 / $84.14	Professional	26	$33.64	$75.84	$84.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.25 / $444.61 / $493.20	Professional	TC	$217.25	$444.61	$493.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.58 / $292.58 / $292.58	Professional		$292.58	$292.58	$292.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $163.44 / $485.95	Professional		$99.53	$163.44	$485.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $48.68 / $86.71	Professional	26	$19.73	$48.68	$86.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.26 / $201.38 / $445.54	Professional	TC	$76.26	$201.38	$445.54
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 $181.63 / $348.26 / $592.04	Professional		$181.63	$348.26	$592.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.08 / $46.19 / $110.63	Professional	26	$27.08	$46.19	$110.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.13 / $268.99 / $513.52	Professional	TC	$138.13	$268.99	$513.52