Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.65 / $33.65 / $96.87	Facility	26	$33.65	$33.65	$96.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $90.10 / $110.45	Professional		$70.80	$90.10	$110.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.92 / $56.44 / $72.00	Professional	TC	$42.92	$56.44	$72.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $232.00 / $336.06	Professional		$97.87	$232.00	$336.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.51 / $145.19 / $211.78	Professional	TC	$60.51	$145.19	$211.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $154.83 / $273.52	Professional		$98.11	$154.83	$273.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.05 / $111.10 / $186.00	Professional	TC	$56.05	$111.10	$186.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $59.48 / $69.00 / $120.12	Facility	26	$59.48	$69.00	$120.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $394.57 / $394.57 / $394.57	Professional		$394.57	$394.57	$394.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $80.55 / $128.34	Professional		$44.14	$80.55	$128.34
United Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $147.43 / $250.46	Professional		$97.10	$147.43	$250.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.85 / $92.34 / $166.72	Professional	TC	$56.85	$92.34	$166.72