Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.88 / $23.88 / $23.88	Facility	26	$23.88	$23.88	$23.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $78.88 / $117.41	Professional		$69.41	$78.88	$117.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.57 / $53.73 / $86.27	Professional	TC	$46.57	$53.73	$86.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $102.24 / $200.72	Professional		$79.44	$102.24	$200.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.00 / $59.06 / $126.69	Professional	TC	$51.00	$59.06	$126.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $114.39 / $215.63	Professional		$82.37	$114.39	$215.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.68 / $79.86 / $150.44	Professional	TC	$51.68	$79.86	$150.44
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $42.90 / $49.00 / $87.14	Facility	26	$42.90	$49.00	$87.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $322.52 / $322.52 / $322.52	Professional		$322.52	$322.52	$322.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $80.55 / $129.73	Professional		$44.14	$80.55	$129.73
United Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $116.04 / $192.39	Professional		$87.48	$116.04	$192.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.38 / $84.33 / $143.56	Professional	TC	$58.38	$84.33	$143.56