Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $104.17 / $267.56	Professional		$103.78	$104.17	$267.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.14 / $34.97 / $64.17	Professional	26	$31.14	$34.97	$64.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.88 / $72.64 / $203.38	Professional	TC	$71.88	$72.64	$203.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $174.00 / $222.38	Professional		$134.38	$174.00	$222.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.77 / $74.00 / $94.87	Professional	26	$38.77	$74.00	$94.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.62 / $100.00 / $127.51	Professional	TC	$95.62	$100.00	$127.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $87.55 / $260.94	Professional		$63.28	$87.55	$260.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.76 / $33.33 / $111.56	Professional	26	$20.76	$33.33	$111.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.18 / $56.29 / $149.38	Professional	TC	$38.18	$56.29	$149.38
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $55.89 / $85.24 / $91.22	Facility	26	$55.89	$85.24	$91.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $124.60 / $191.85	Professional		$45.28	$124.60	$191.85
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $124.09 / $292.11	Professional		$74.45	$124.09	$292.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.24 / $37.54 / $127.86	Professional	26	$24.24	$37.54	$127.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.40 / $77.63 / $181.16	Professional	TC	$52.40	$77.63	$181.16