Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $63.58 / $102.90	Professional		$48.38	$63.58	$102.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.06 / $28.10 / $46.49	Professional	26	$21.06	$28.10	$46.49
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.83 / $31.79 / $51.45	Professional	52	$23.83	$31.79	$51.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.58 / $35.47 / $56.41	Professional	TC	$26.58	$35.47	$56.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.00 / $92.00	Professional		$92.00	$92.00	$92.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $77.70 / $140.97	Professional		$49.44	$77.70	$140.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.40 / $32.45 / $52.83	Professional	26	$21.40	$32.45	$52.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.36 / $43.72 / $88.13	Professional	TC	$28.36	$43.72	$88.13
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 $49.46 / $61.03 / $87.63	Professional		$49.46	$61.03	$87.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $26.57 / $34.77	Professional	26	$22.52	$26.57	$34.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.78 / $33.57 / $58.97	Professional	TC	$27.78	$33.57	$58.97