Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.44 / $19.44 / $19.44	Facility	26	$19.44	$19.44	$19.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $114.92 / $124.70	Professional		$88.55	$114.92	$124.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.16 / $95.48 / $103.73	Professional	TC	$73.16	$95.48	$103.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $136.84 / $209.24	Professional		$119.00	$136.84	$209.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.00 / $102.71 / $143.79	Professional	TC	$75.00	$102.71	$143.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.62 / $139.31 / $251.27	Professional		$100.62	$139.31	$251.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.09 / $109.97 / $218.83	Professional	TC	$78.09	$109.97	$218.83
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $33.00 / $41.00 / $70.62	Facility	26	$33.00	$41.00	$70.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $508.72	Professional		$145.72	$145.72	$508.72
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $424.12 / $424.12 / $424.12	Professional	TC	$424.12	$424.12	$424.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $120.83 / $183.31	Professional		$86.94	$120.83	$183.31
United Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $144.33 / $250.97	Professional		$98.97	$144.33	$250.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.73 / $110.45 / $202.14	Professional	TC	$75.73	$110.45	$202.14