Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.55 / $116.55 / $196.19	Facility	26	$116.55	$116.55	$196.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.25 / $322.58 / $474.71	Professional		$231.25	$322.58	$474.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.31 / $106.20 / $196.19	Professional	26	$94.31	$106.20	$196.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.22 / $201.88 / $278.52	Professional	TC	$148.22	$201.88	$278.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.00 / $473.00 / $473.00	Professional		$473.00	$473.00	$473.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.07 / $348.75 / $618.28	Professional		$247.07	$348.75	$618.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $140.04 / $190.90	Professional	26	$95.10	$140.04	$190.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.32 / $206.42 / $447.21	Professional	TC	$162.32	$206.42	$447.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $224.30	Professional		$32.34	$32.34	$224.30
United Facility/Professional Professional Modifier Low / Median / High Price $232.50 / $319.42 / $460.01	Professional		$232.50	$319.42	$460.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.36 / $121.38 / $189.07	Professional	26	$94.36	$121.38	$189.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.81 / $182.95 / $293.17	Professional	TC	$128.81	$182.95	$293.17