Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.12 / $57.12 / $108.47	Facility	26	$57.12	$57.12	$108.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.48 / $451.36 / $625.69	Professional		$329.48	$451.36	$625.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.12 / $63.75 / $108.30	Professional	26	$57.12	$63.75	$108.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $164.74 / $197.53 / $312.85	Professional	52	$164.74	$197.53	$312.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.37 / $387.61 / $517.22	Professional	TC	$272.37	$387.61	$517.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.00 / $657.00 / $657.00	Professional		$657.00	$657.00	$657.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.61 / $643.69 / $786.31	Professional		$384.61	$643.69	$786.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.34 / $98.95 / $144.26	Professional	26	$56.34	$98.95	$144.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $324.51 / $495.58 / $679.55	Professional	TC	$324.51	$495.58	$679.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $313.18	Professional		$32.34	$32.34	$313.18
United Facility/Professional Professional Modifier Low / Median / High Price $359.92 / $515.47 / $718.48	Professional		$359.92	$515.47	$718.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.79 / $118.93	Professional	26	$54.95	$75.79	$118.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $305.81 / $445.11 / $601.50	Professional	TC	$305.81	$445.11	$601.50