Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $107.15	Facility	26	$67.61	$67.61	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $302.00	Professional		$151.36	$181.97	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $61.66 / $112.20	Professional	26	$52.48	$61.66	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $114.82 / $190.55	Professional	TC	$97.72	$114.82	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $501.19	Professional		$269.15	$354.81	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $109.65	Professional	26	$54.95	$74.13	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $275.42 / $426.58	Professional	TC	$208.93	$275.42	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $457.09	Professional		$251.19	$316.23	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $95.50	Professional	26	$52.48	$64.57	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $251.19 / $363.08	Professional	TC	$199.53	$251.19	$363.08