Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $512.86	Professional		$173.78	$269.15	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $128.82	Professional	26	$51.29	$67.61	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $190.55 / $398.11	Professional	TC	$128.82	$190.55	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $575.44	Professional		$213.80	$288.40	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $75.86 / $109.65	Professional	26	$60.26	$75.86	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $208.93 / $467.74	Professional	TC	$154.88	$208.93	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $954.99	Professional		$229.09	$371.54	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $83.18 / $120.23	Professional	26	$64.57	$83.18	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $263.03 / $831.76	Professional	TC	$162.18	$263.03	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	26	$117.49	$117.49	$117.49
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 $208.93 / $316.23 / $851.14	Professional		$208.93	$316.23	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $117.49	Professional	26	$56.23	$70.79	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $223.87 / $776.25	Professional	TC	$147.91	$223.87	$776.25