Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.79 / $302.79 / $352.62	Professional		$302.79	$302.79	$352.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $35.95 / $40.77	Professional	26	$35.95	$35.95	$40.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.83 / $266.83 / $311.85	Professional	TC	$266.83	$266.83	$311.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $268.80 / $363.61	Professional		$256.00	$268.80	$363.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $52.00 / $54.60	Professional	26	$44.39	$52.00	$54.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.00 / $214.20 / $319.00	Professional	TC	$204.00	$214.20	$319.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.54 / $210.60 / $551.69	Professional		$193.54	$210.60	$551.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.72 / $25.10 / $69.79	Professional	26	$23.72	$25.10	$69.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.61 / $185.74 / $483.49	Professional	TC	$168.61	$185.74	$483.49
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $53.68 / $93.00	Facility	26	$45.47	$53.68	$93.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $336.24 / $502.46	Professional		$45.28	$336.24	$502.46
United Facility/Professional Professional Modifier Low / Median / High Price $223.97 / $313.70 / $900.80	Professional		$223.97	$313.70	$900.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $34.71 / $101.78	Professional	26	$27.96	$34.71	$101.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.37 / $279.66 / $799.02	Professional	TC	$195.37	$279.66	$799.02