Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $159.68 / $236.34	Professional		$92.16	$159.68	$236.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $18.75 / $47.49	Professional	26	$17.80	$18.75	$47.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.76 / $136.52 / $322.94	Professional	TC	$127.76	$136.52	$322.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $94.50 / $174.38	Professional		$90.00	$94.50	$174.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.54 / $44.00 / $46.20	Professional	26	$21.54	$44.00	$46.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.97 / $151.97 / $658.00	Professional	TC	$151.97	$151.97	$658.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $96.97 / $290.89	Professional		$76.06	$96.97	$290.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.54 / $25.76 / $77.28	Professional	26	$12.54	$25.76	$77.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.55 / $72.73 / $213.62	Professional	TC	$55.55	$72.73	$213.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $47.25 / $66.98 / $67.98	Facility	26	$47.25	$66.98	$67.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $161.24 / $252.01	Professional		$45.28	$161.24	$252.01
United Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $137.22 / $460.87	Professional		$100.40	$137.22	$460.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $25.24 / $122.74	Professional	26	$14.40	$25.24	$122.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.62 / $97.66 / $313.98	Professional	TC	$74.62	$97.66	$313.98