Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.67 / $30.67 / $51.64	Facility	26	$30.67	$30.67	$51.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $159.41 / $268.35	Professional		$128.66	$159.41	$268.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.16 / $128.74 / $216.71	Professional	TC	$103.16	$128.74	$216.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.75 / $172.53 / $252.32	Professional		$126.75	$172.53	$252.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.05 / $138.82 / $199.21	Professional	TC	$90.05	$138.82	$199.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.38	Professional		$32.34	$32.34	$133.38
United Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $140.32 / $217.58	Professional		$108.63	$140.32	$217.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.63 / $109.41 / $173.50	Professional	TC	$72.63	$109.41	$173.50