Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	TC	$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $501.19	Professional		$234.42	$363.08	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $177.83 / $229.09	Professional	26	$123.03	$177.83	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $181.97 / $346.74	Professional	TC	$112.20	$181.97	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $416.87	Professional		$323.59	$323.59	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	26	$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	TC	$173.78	$173.78	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $977.24	Professional		$275.42	$389.05	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $186.21 / $389.05	Professional	26	$107.15	$186.21	$389.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $234.42 / $549.54	Professional	TC	$128.82	$234.42	$549.54