Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.54 / $106.38 / $113.69	Facility	26	$67.54	$106.38	$113.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $179.99 / $302.98	Professional		$155.75	$179.99	$302.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.80 / $67.54 / $113.69	Professional	26	$53.80	$67.54	$113.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.13 / $113.45 / $189.29	Professional	TC	$99.13	$113.45	$189.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $348.00 / $348.00	Professional		$348.00	$348.00	$348.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.16 / $365.39 / $498.67	Professional		$277.16	$365.39	$498.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.45 / $74.73 / $92.73	Professional	26	$55.45	$74.73	$92.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.20 / $289.05 / $406.07	Professional	TC	$213.20	$289.05	$406.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $202.78	Professional		$32.34	$32.34	$202.78
United Facility/Professional Professional Modifier Low / Median / High Price $254.36 / $327.49 / $481.30	Professional		$254.36	$327.49	$481.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.60 / $64.45 / $101.48	Professional	26	$52.60	$64.45	$101.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.12 / $267.89 / $384.36	Professional	TC	$210.12	$267.89	$384.36