Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $69.98 / $117.81	Facility		$69.98	$69.98	$117.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.11 / $21.11 / $35.53	Facility	26	$21.11	$21.11	$35.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $90.42 / $153.12	Professional		$67.34	$90.42	$153.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $21.11 / $35.53	Professional	26	$16.73	$21.11	$35.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.92 / $67.02 / $122.46	Professional	TC	$47.92	$67.02	$122.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $215.00 / $215.00	Professional		$215.00	$215.00	$215.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.31 / $225.03 / $276.23	Facility		$101.31	$225.03	$276.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $117.12 / $220.47	Professional		$62.11	$117.12	$220.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $25.30 / $36.93	Professional	26	$17.20	$25.30	$36.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.02 / $94.80 / $186.92	Professional	TC	$44.02	$94.80	$186.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $50.57	Professional		$32.34	$32.34	$50.57
United Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $97.37 / $146.74	Professional		$59.66	$97.37	$146.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $22.08 / $35.75	Professional	26	$16.71	$22.08	$35.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.59 / $72.31 / $123.34	Professional	TC	$41.59	$72.31	$123.34