Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $88.98 / $235.96	Professional		$73.84	$88.98	$235.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.69 / $24.70 / $51.69	Professional	26	$22.69	$24.70	$51.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.16 / $64.28 / $184.26	Professional	TC	$51.16	$64.28	$184.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $117.67 / $149.94	Professional		$117.00	$117.67	$149.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.18 / $45.00 / $57.13	Professional	26	$31.18	$45.00	$57.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.00 / $75.59 / $92.82	Professional	TC	$72.00	$75.59	$92.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $51.58 / $128.00	Professional		$34.88	$51.58	$128.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $15.67 / $36.63	Professional	26	$12.29	$15.67	$36.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.59 / $35.39 / $92.47	Professional	TC	$22.59	$35.39	$92.47
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.63 / $36.81 / $45.40	Facility	26	$36.63	$36.81	$45.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $103.87 / $155.81	Professional		$45.28	$103.87	$155.81
United Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $73.62 / $171.70	Professional		$41.27	$73.62	$171.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.70 / $23.09 / $61.25	Professional	26	$14.70	$23.09	$61.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.57 / $50.53 / $117.35	Professional	TC	$26.57	$50.53	$117.35