Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.77 / $103.77 / $236.24	Facility	26	$103.77	$103.77	$236.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.22 / $361.61 / $517.71	Professional		$296.22	$361.61	$517.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.41 / $103.77 / $131.86	Professional	26	$82.41	$103.77	$131.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.81 / $257.83 / $366.01	Professional	TC	$213.81	$257.83	$366.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $249.96 / $426.69	Professional		$158.00	$249.96	$426.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.15 / $133.00 / $233.85	Professional	26	$78.15	$133.00	$233.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $171.82 / $234.96	Professional	TC	$25.00	$171.82	$234.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.60 / $417.25 / $757.97	Professional		$314.60	$417.25	$757.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.14 / $122.48 / $219.57	Professional	26	$97.14	$122.48	$219.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.31 / $295.36 / $540.46	Professional	TC	$220.31	$295.36	$540.46
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $114.00 / $116.23 / $160.30	Facility	26	$114.00	$116.23	$160.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $147.13 / $217.09	Professional		$142.91	$147.13	$217.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $211.36 / $370.36	Professional		$100.11	$211.36	$370.36
United Facility/Professional Professional Modifier Low / Median / High Price $267.80 / $436.88 / $770.72	Professional		$267.80	$436.88	$770.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.32 / $115.44 / $221.16	Professional	26	$83.32	$115.44	$221.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.92 / $284.75 / $528.76	Professional	TC	$177.92	$284.75	$528.76