Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.78 / $65.12 / $109.63	Facility	26	$59.78	$65.12	$109.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.31 / $410.45 / $738.36	Professional		$316.31	$410.45	$738.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $350.67 / $628.73	Professional	TC	$264.98	$350.67	$628.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $430.00 / $430.00	Professional		$430.00	$430.00	$430.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.88 / $442.50 / $630.82	Professional		$286.88	$442.50	$630.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.63 / $335.41 / $525.57	Professional	TC	$216.63	$335.41	$525.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $314.75	Professional		$32.34	$32.34	$314.75
United Facility/Professional Professional Modifier Low / Median / High Price $285.67 / $362.04 / $634.35	Professional		$285.67	$362.04	$634.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.31 / $306.61 / $511.02	Professional	TC	$210.31	$306.61	$511.02