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 $645.65 / $954.99 / $1,445.44	Professional		$645.65	$954.99	$1,445.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $575.44 / $851.14 / $1,288.25	Professional	TC	$575.44	$851.14	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,000.00 / $1,318.26	Professional		$363.08	$1,000.00	$1,318.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $912.01 / $1,174.90	Professional	TC	$204.17	$912.01	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $870.96 / $1,548.82	Professional		$323.59	$870.96	$1,548.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $776.25 / $1,380.38	Professional	TC	$186.21	$776.25	$1,380.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	26	$223.87	$223.87	$223.87
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 $575.44 / $870.96 / $1,412.54	Professional		$575.44	$870.96	$1,412.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $478.63 / $776.25 / $1,202.26	Professional	TC	$478.63	$776.25	$1,202.26