Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $58.13	Professional		$50.37	$50.37	$58.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.12 / $18.93 / $164.90	Professional	26	$18.12	$18.93	$164.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.44 / $33.14 / $35.97	Professional	TC	$31.44	$33.14	$35.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $107.00 / $136.69	Professional		$59.78	$107.00	$136.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.19 / $41.00 / $52.03	Professional	26	$23.19	$41.00	$52.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.59 / $66.00 / $84.66	Professional	TC	$36.59	$66.00	$84.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $32.65 / $84.48	Professional		$28.60	$32.65	$84.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.33 / $12.14 / $30.78	Professional	26	$10.33	$12.14	$30.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.27 / $20.16 / $53.70	Professional	TC	$18.27	$20.16	$53.70
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $30.78 / $30.78 / $38.18	Facility	26	$30.78	$30.78	$38.18
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 $33.81 / $49.74 / $140.63	Professional		$33.81	$49.74	$140.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $19.45 / $51.67	Professional	26	$12.34	$19.45	$51.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.47 / $30.59 / $88.97	Professional	TC	$21.47	$30.59	$88.97