Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	26	$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.91 / $182.26 / $227.38	Professional		$168.91	$182.26	$227.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.60 / $143.41 / $179.91	Professional	TC	$132.60	$143.41	$179.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.08 / $294.00 / $390.78	Professional		$183.08	$294.00	$390.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.81 / $208.00 / $298.72	Professional	TC	$142.81	$208.00	$298.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.48 / $278.70 / $463.43	Professional		$238.48	$278.70	$463.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.43 / $218.78 / $374.68	Professional	TC	$185.43	$218.78	$374.68
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $67.67 / $78.00 / $141.63	Facility	26	$67.67	$78.00	$141.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $399.25 / $399.25 / $399.25	Professional		$399.25	$399.25	$399.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $176.80 / $237.54	Professional		$41.02	$176.80	$237.54
United Facility/Professional Professional Modifier Low / Median / High Price $207.55 / $272.98 / $435.71	Professional		$207.55	$272.98	$435.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.98 / $202.86 / $345.93	Professional	TC	$165.98	$202.86	$345.93