Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.24 / $83.24 / $83.24	Facility	26	$83.24	$83.24	$83.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.13 / $774.70 / $957.80	Professional		$738.13	$774.70	$957.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $659.08 / $691.46 / $858.80	Professional	TC	$659.08	$691.46	$858.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.36 / $870.25 / $1,144.30	Professional		$275.36	$870.25	$1,144.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.66 / $774.40 / $1,018.27	Professional	TC	$158.66	$774.40	$1,018.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $870.28 / $1,814.75	Professional		$325.00	$870.28	$1,814.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.00 / $753.63 / $1,619.76	Professional	TC	$186.00	$753.63	$1,619.76
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $138.00 / $174.00 / $306.89	Facility	26	$138.00	$174.00	$306.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $578.78 / $578.78 / $578.78	Professional		$578.78	$578.78	$578.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.24 / $912.17 / $1,417.56	Professional		$111.24	$912.17	$1,417.56
United Facility/Professional Professional Modifier Low / Median / High Price $573.87 / $945.72 / $1,634.88	Professional		$573.87	$945.72	$1,634.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $480.21 / $826.62 / $1,428.99	Professional	TC	$480.21	$826.62	$1,428.99