Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.15 / $54.16 / $95.32	Facility	26	$54.15	$54.16	$95.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $281.08 / $554.99	Professional		$256.36	$281.08	$554.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.16 / $57.15 / $97.16	Professional	26	$54.16	$57.15	$97.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $202.20 / $223.25 / $308.83	Professional	TC	$202.20	$223.25	$308.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.74 / $611.00 / $826.27	Professional		$274.74	$611.00	$826.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.58 / $210.00 / $315.00	Professional	26	$59.58	$210.00	$315.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $215.17 / $401.00 / $525.83	Professional	TC	$215.17	$401.00	$525.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.41 / $393.66 / $750.80	Professional		$301.41	$393.66	$750.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.58 / $80.63 / $158.62	Professional	26	$67.58	$80.63	$158.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $233.84 / $314.13 / $592.19	Professional	TC	$233.84	$314.13	$592.19
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $95.12 / $95.85 / $197.47	Facility	26	$95.12	$95.85	$197.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,066.15 / $1,066.15 / $1,066.15	Professional		$1,066.15	$1,066.15	$1,066.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $250.20 / $355.81	Professional		$41.02	$250.20	$355.81
United Facility/Professional Professional Modifier Low / Median / High Price $312.79 / $441.99 / $661.40	Professional		$312.79	$441.99	$661.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.22 / $93.38 / $150.51	Professional	26	$61.22	$93.38	$150.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.65 / $303.02 / $514.29	Professional	TC	$234.65	$303.02	$514.29