Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.46 / $129.46 / $294.42	Facility	26	$129.46	$129.46	$294.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.65 / $438.89 / $572.24	Professional		$357.65	$438.89	$572.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.38 / $129.46 / $165.41	Professional	26	$103.38	$129.46	$165.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $254.27 / $309.43 / $406.83	Professional	TC	$254.27	$309.43	$406.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.50 / $306.72 / $536.12	Professional		$225.50	$306.72	$536.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.69 / $189.50 / $321.02	Professional	26	$97.69	$189.50	$321.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.00 / $209.03 / $307.73	Professional	TC	$36.00	$209.03	$307.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.39 / $425.46 / $919.96	Professional		$337.39	$425.46	$919.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.68 / $151.80 / $276.08	Professional	26	$120.68	$151.80	$276.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.75 / $273.22 / $648.60	Professional	TC	$213.75	$273.22	$648.60
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $141.63 / $141.63 / $218.28	Facility	26	$141.63	$141.63	$218.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $257.08 / $431.06	Professional		$142.91	$257.08	$431.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $255.36 / $452.20	Professional		$100.11	$255.36	$452.20
United Facility/Professional Professional Modifier Low / Median / High Price $293.64 / $443.97 / $919.43	Professional		$293.64	$443.97	$919.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.18 / $158.41 / $269.02	Professional	26	$103.18	$158.41	$269.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.20 / $303.60 / $550.76	Professional	TC	$189.20	$303.60	$550.76