Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.27 / $43.27 / $43.27	Facility	26	$43.27	$43.27	$43.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.37 / $142.36 / $282.00	Professional		$108.37	$142.36	$282.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.68 / $43.27 / $67.34	Professional	26	$38.68	$43.27	$67.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.69 / $93.78 / $127.80	Professional	TC	$69.69	$93.78	$127.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $141.63 / $229.32	Professional		$111.00	$141.63	$229.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.99 / $63.00 / $84.98	Professional	26	$38.99	$63.00	$84.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $102.45 / $143.43	Professional	TC	$48.00	$102.45	$143.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $150.63 / $229.54	Professional		$93.58	$150.63	$229.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.65 / $56.57 / $86.13	Professional	26	$38.65	$56.57	$86.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.62 / $98.71 / $154.94	Professional	TC	$46.62	$98.71	$154.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $43.00 / $46.00 / $109.09	Facility	26	$43.00	$46.00	$109.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $442.70 / $442.70 / $442.70	Professional		$442.70	$442.70	$442.70
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $150.91 / $150.91 / $150.91	Professional	26	$150.91	$150.91	$150.91
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $664.06 / $664.06 / $664.06	Professional	50	$664.06	$664.06	$664.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $127.90 / $210.82	Professional		$44.14	$127.90	$210.82
United Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $125.14 / $187.64	Professional		$98.22	$125.14	$187.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.96 / $48.19 / $69.27	Professional	26	$39.96	$48.19	$69.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.69 / $71.58 / $124.80	Professional	TC	$50.69	$71.58	$124.80