Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $870.96	Professional		$346.74	$478.63	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $128.82 / $269.15	Professional	26	$83.18	$128.82	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $676.08	Professional	TC	$257.04	$338.84	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $954.99	Professional		$323.59	$457.09	$954.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $151.36 / $275.42	Professional	26	$83.18	$151.36	$275.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $295.12 / $691.83	Professional	TC	$245.47	$295.12	$691.83
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 / $114.82 / $199.53	Professional	26	$83.18	$114.82	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $426.58 / $741.31	Professional	TC	$295.12	$426.58	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Professional	26	$165.96	$165.96	$165.96
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 / $512.86 / $870.96	Professional		$363.08	$512.86	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $100.00 / $173.78	Professional	26	$81.28	$100.00	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $426.58 / $741.31	Professional	TC	$275.42	$426.58	$741.31