Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.92 / $53.92 / $90.76	Facility	26	$53.92	$53.92	$90.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $109.97 / $187.05	Professional		$97.28	$109.97	$187.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.19 / $57.20 / $96.29	Professional	TC	$52.19	$57.20	$96.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $126.47 / $173.82	Professional		$87.44	$126.47	$173.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.65 / $60.64 / $89.74	Professional	TC	$39.65	$60.64	$89.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $69.97	Professional		$32.34	$32.34	$69.97
United Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $111.91 / $165.13	Professional		$85.59	$111.91	$165.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.58 / $48.40 / $79.17	Professional	TC	$39.58	$48.40	$79.17