Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.42 / $79.42 / $79.42	Facility	26	$79.42	$79.42	$79.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.16 / $126.26 / $158.80	Professional		$122.16	$126.26	$158.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.00 / $43.03 / $54.32	Professional	TC	$42.00	$43.03	$54.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.03 / $237.00 / $319.69	Professional		$134.03	$237.00	$319.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.48 / $114.00 / $153.77	Professional	TC	$47.48	$114.00	$153.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $198.71 / $357.78	Professional		$149.41	$198.71	$357.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.62 / $71.73 / $135.99	Professional	TC	$50.62	$71.73	$135.99
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $145.83 / $169.80 / $303.63	Facility	26	$145.83	$169.80	$303.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $84.56 / $84.56	Professional		$84.56	$84.56	$84.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $106.67 / $174.59	Professional		$60.69	$106.67	$174.59
United Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $198.46 / $298.76	Professional		$140.85	$198.46	$298.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.93 / $73.09 / $112.92	Professional	TC	$46.93	$73.09	$112.92