Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $245.47	Professional		$109.65	$144.54	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $52.48 / $85.11	Professional	TC	$38.90	$52.48	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $309.03	Professional		$141.25	$190.55	$309.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $69.18 / $147.91	Professional	TC	$51.29	$69.18	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $354.81	Professional		$147.91	$213.80	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $79.43 / $138.04	Professional	TC	$48.98	$79.43	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $190.55 / $190.55	Professional	26	$190.55	$190.55	$190.55
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 $138.04 / $173.78 / $302.00	Professional		$138.04	$173.78	$302.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $57.54 / $112.20	Professional	TC	$46.77	$57.54	$112.20