Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.05 / $467.96 / $1,037.32	Professional		$420.05	$467.96	$1,037.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.70 / $44.27 / $88.04	Professional	26	$40.70	$44.27	$88.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $361.00 / $400.67 / $673.92	Professional	TC	$361.00	$400.67	$673.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $319.20 / $500.97	Professional		$304.00	$319.20	$500.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.22 / $59.00 / $61.95	Professional	26	$53.22	$59.00	$61.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.00 / $257.25 / $447.48	Professional	TC	$245.00	$257.25	$447.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.68 / $352.11 / $660.39	Professional		$231.68	$352.11	$660.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.19 / $41.03 / $78.98	Professional	26	$28.19	$41.03	$78.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.28 / $318.77 / $601.50	Professional	TC	$203.28	$318.77	$601.50
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $77.90	Facility	26	$51.29	$51.29	$77.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $466.08 / $706.80	Professional		$45.28	$466.08	$706.80
United Facility/Professional Professional Modifier Low / Median / High Price $265.14 / $412.54 / $1,100.83	Professional		$265.14	$412.54	$1,100.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.34 / $36.15 / $110.02	Professional	26	$32.34	$36.15	$110.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $232.81 / $349.98 / $965.42	Professional	TC	$232.81	$349.98	$965.42