Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $32.57 / $52.54	Professional		$24.37	$32.57	$52.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.12 / $15.03 / $17.70	Professional	26	$11.12	$15.03	$17.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.05 / $16.57 / $24.97	Professional	TC	$12.05	$16.57	$24.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.19 / $192.35 / $248.86	Facility		$131.19	$192.35	$248.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $32.00 / $59.52	Professional		$30.31	$32.00	$59.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $25.00 / $32.46	Professional	26	$14.69	$25.00	$32.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.00 / $9.30 / $34.01	Professional	TC	$7.00	$9.30	$34.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $44.34 / $59.61	Professional		$27.41	$44.34	$59.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.40 / $17.80 / $27.13	Professional	26	$13.40	$17.80	$27.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.91 / $23.67 / $33.99	Professional	TC	$13.91	$23.67	$33.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $38.70 / $66.93	Facility		$25.54	$38.70	$66.93
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.10 / $20.00 / $27.90	Facility	26	$15.10	$20.00	$27.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $36.91 / $44.92	Professional		$31.30	$36.91	$44.92
United Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $32.25 / $48.79	Professional		$25.80	$32.25	$48.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.62 / $15.66 / $21.86	Professional	26	$11.62	$15.66	$21.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.05 / $16.55 / $29.66	Professional	TC	$13.05	$16.55	$29.66