Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $56.06 / $60.69	Professional		$47.46	$56.06	$60.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $19.72 / $22.79	Professional	26	$18.94	$19.72	$22.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $37.11 / $37.11	Professional	TC	$27.21	$37.11	$37.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $44.10 / $76.12	Professional		$42.00	$44.10	$76.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.23 / $28.70 / $43.05	Professional	26	$23.23	$28.70	$43.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.51 / $52.51 / $209.85	Professional	TC	$25.51	$52.51	$209.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $33.94 / $80.63	Professional		$25.68	$33.94	$80.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.62 / $12.85 / $68.06	Professional	26	$11.62	$12.85	$68.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.82 / $19.43 / $53.40	Professional	TC	$12.82	$19.43	$53.40
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $22.77 / $35.00 / $51.17	Facility	26	$22.77	$35.00	$51.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $76.48 / $116.54	Professional		$45.28	$76.48	$116.54
United Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $45.31 / $122.83	Professional		$31.35	$45.31	$122.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.98 / $17.82 / $52.70	Professional	26	$13.98	$17.82	$52.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.37 / $31.15 / $67.77	Professional	TC	$17.37	$31.15	$67.77