Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.41 / $107.74 / $115.16	Facility	26	$68.41	$107.74	$115.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $191.59 / $215.10	Professional		$111.45	$191.59	$215.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.39 / $68.41 / $115.16	Professional	26	$55.39	$68.41	$115.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.06 / $93.51 / $131.93	Professional	TC	$56.06	$93.51	$131.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $221.00	Professional		$221.00	$221.00	$221.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $168.99 / $265.19	Professional		$108.85	$168.99	$265.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.52 / $81.31 / $120.85	Professional	26	$56.52	$81.31	$120.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.27 / $73.88 / $141.94	Professional	TC	$45.27	$73.88	$141.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $49.52	Professional		$32.34	$32.34	$49.52
United Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $168.57 / $241.78	Professional		$106.14	$168.57	$241.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.69 / $69.40 / $105.48	Professional	26	$53.69	$69.40	$105.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.60 / $84.61 / $145.99	Professional	TC	$50.60	$84.61	$145.99