Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.19 / $39.19 / $72.45	Facility	26	$39.19	$39.19	$72.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $142.36 / $191.82	Professional		$110.39	$142.36	$191.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.34 / $47.50 / $72.45	Professional	26	$39.34	$47.50	$72.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.19 / $94.50 / $131.60	Professional	TC	$71.19	$94.50	$131.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $152.00	Professional		$152.00	$152.00	$152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $144.66 / $220.21	Professional		$98.88	$144.66	$220.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.67 / $53.57 / $90.00	Professional	26	$38.67	$53.57	$90.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.46 / $85.77 / $139.78	Professional	TC	$42.46	$85.77	$139.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $73.58	Professional		$32.34	$32.34	$73.58
United Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $119.22 / $153.52	Professional		$94.17	$119.22	$153.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.96 / $46.02 / $59.46	Professional	26	$39.96	$46.02	$59.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.70 / $67.53 / $87.64	Professional	TC	$52.70	$67.53	$87.64