Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	26	$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $870.96	Professional		$338.84	$446.68	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $213.80	Professional	26	$85.11	$120.23	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $630.96	Professional	TC	$257.04	$338.84	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $707.95	Professional		$331.13	$457.09	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $125.89 / $213.80	Professional	26	$83.18	$125.89	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $323.59 / $524.81	Professional	TC	$245.47	$323.59	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $977.24	Professional		$389.05	$562.34	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $117.49 / $199.53	Professional	26	$83.18	$117.49	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $426.58 / $758.58	Professional	TC	$295.12	$426.58	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	26	$169.82	$169.82	$169.82
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 $363.08 / $524.81 / $870.96	Professional		$363.08	$524.81	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $102.33 / $173.78	Professional	26	$81.28	$102.33	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $416.87 / $741.31	Professional	TC	$275.42	$416.87	$741.31