Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.60 / $51.86 / $87.30	Facility	26	$47.60	$51.86	$87.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.18 / $382.01 / $643.04	Professional		$322.18	$382.01	$643.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $162.40 / $191.26 / $321.52	Professional	52	$162.40	$191.26	$321.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $278.04 / $328.90 / $555.75	Professional	TC	$278.04	$328.90	$555.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $345.00 / $345.00	Professional		$345.00	$345.00	$345.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.54 / $431.87 / $581.57	Professional		$309.54	$431.87	$581.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $265.02 / $369.37 / $498.55	Professional	TC	$265.02	$369.37	$498.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $280.57	Professional		$32.34	$32.34	$280.57
United Facility/Professional Professional Modifier Low / Median / High Price $300.93 / $384.26 / $610.34	Professional		$300.93	$384.26	$610.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.95 / $308.93 / $463.40	Professional	TC	$251.95	$308.93	$463.40