Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $83.00 / $83.00	Facility	26	$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.77 / $275.00 / $518.11	Professional		$219.77	$275.00	$518.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.95 / $61.61 / $83.00	Professional	26	$52.95	$61.61	$83.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.93 / $220.00 / $455.81	Professional	TC	$158.93	$220.00	$455.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.30 / $447.00 / $602.96	Professional		$196.30	$447.00	$602.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.23 / $84.00 / $113.31	Professional	26	$57.23	$84.00	$113.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.07 / $363.00 / $489.65	Professional	TC	$139.07	$363.00	$489.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.57 / $389.27 / $710.91	Professional		$230.57	$389.27	$710.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.24 / $82.49 / $152.04	Professional	26	$55.24	$82.49	$152.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $166.51 / $281.92 / $619.49	Professional	TC	$166.51	$281.92	$619.49
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $71.84 / $110.99 / $186.56	Facility	26	$71.84	$110.99	$186.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $159.05 / $271.22	Professional		$63.11	$159.05	$271.22
United Facility/Professional Professional Modifier Low / Median / High Price $218.10 / $315.12 / $728.13	Professional		$218.10	$315.12	$728.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.16 / $81.90 / $117.12	Professional	26	$56.16	$81.90	$117.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.71 / $251.63 / $659.00	Professional	TC	$155.71	$251.63	$659.00