Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $91.21 / $258.08	Professional		$83.06	$91.21	$258.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.02 / $49.35 / $205.70	Professional	26	$25.02	$49.35	$205.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.04 / $65.55 / $204.02	Professional	TC	$58.04	$65.55	$204.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $191.00 / $243.80	Professional		$98.53	$191.00	$243.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.37 / $69.00 / $87.73	Professional	26	$30.37	$69.00	$87.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.16 / $122.00 / $156.07	Professional	TC	$68.16	$122.00	$156.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $101.42 / $286.39	Professional		$53.24	$101.42	$286.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $30.92 / $102.81	Professional	26	$17.37	$30.92	$102.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.89 / $72.72 / $185.20	Professional	TC	$36.89	$72.72	$185.20
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $44.90 / $79.05 / $87.29	Facility	26	$44.90	$79.05	$87.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $85.68 / $154.20	Professional		$45.28	$85.68	$154.20
United Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $106.66 / $307.41	Professional		$60.84	$106.66	$307.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.72 / $35.53 / $118.58	Professional	26	$19.72	$35.53	$118.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.02 / $79.40 / $256.07	Professional	TC	$41.02	$79.40	$256.07