Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $46.42 / $94.11	Professional		$41.82	$46.42	$94.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.90 / $32.97 / $234.28	Professional	26	$27.90	$32.97	$234.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.92 / $14.66 / $36.54	Professional	TC	$13.92	$14.66	$36.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $55.00 / $94.87	Professional		$51.34	$55.00	$94.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $51.00 / $78.55	Professional	26	$34.21	$51.00	$78.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.00 / $4.20 / $17.22	Professional	TC	$4.00	$4.20	$17.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $27.45 / $64.89	Professional		$22.18	$27.45	$64.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.98 / $19.13 / $47.19	Professional	26	$15.98	$19.13	$47.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.20 / $8.74 / $21.22	Professional	TC	$6.20	$8.74	$21.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $39.90 / $50.06 / $60.20	Facility	26	$39.90	$50.06	$60.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $44.97 / $78.76	Professional		$25.98	$44.97	$78.76
United Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $43.31 / $114.29	Professional		$31.21	$43.31	$114.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.70 / $26.98 / $79.40	Professional	26	$20.70	$26.98	$79.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.19 / $13.53 / $33.22	Professional	TC	$10.19	$13.53	$33.22