Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $95.04 / $101.27	Professional		$73.29	$95.04	$101.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $16.11 / $18.53	Professional	26	$13.12	$16.11	$18.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $78.93 / $84.07	Professional	TC	$60.10	$78.93	$84.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $97.03 / $134.21	Professional		$70.42	$97.03	$134.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $26.04 / $34.45	Professional	26	$17.55	$26.04	$34.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $73.16 / $106.37	Professional	TC	$46.00	$73.16	$106.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $101.44 / $227.32	Professional		$66.23	$101.44	$227.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.61 / $25.00 / $41.95	Professional	26	$17.61	$25.00	$41.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.36 / $80.97 / $185.37	Professional	TC	$47.36	$80.97	$185.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $414.07 / $414.07 / $414.07	Professional		$414.07	$414.07	$414.07
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $70.29 / $70.29 / $70.29	Professional	26	$70.29	$70.29	$70.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.46 / $104.33 / $154.23	Professional		$76.46	$104.33	$154.23
United Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $109.71 / $206.00	Professional		$65.20	$109.71	$206.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.54 / $23.30 / $37.03	Professional	26	$17.54	$23.30	$37.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.66 / $86.89 / $168.36	Professional	TC	$47.66	$86.89	$168.36