Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.02 / $22.02 / $22.02	Facility	26	$22.02	$22.02	$22.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $39.42 / $152.47	Professional		$33.39	$39.42	$152.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.92 / $22.02 / $36.81	Professional	26	$18.92	$22.02	$36.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.46 / $17.39 / $97.42	Professional	TC	$14.46	$17.39	$97.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $88.00 / $147.43	Professional		$35.32	$88.00	$147.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $56.62 / $91.79	Professional	26	$19.70	$56.62	$91.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.62 / $18.80 / $72.23	Professional	TC	$15.62	$18.80	$72.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $73.31 / $174.38	Professional		$38.28	$73.31	$174.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.18 / $36.22 / $66.00	Professional	26	$22.18	$36.22	$66.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.83 / $31.07 / $126.96	Professional	TC	$15.83	$31.07	$126.96
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.72 / $37.00 / $56.33	Facility	26	$28.72	$37.00	$56.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.29 / $139.29 / $139.29	Professional		$139.29	$139.29	$139.29
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $77.98 / $77.98 / $77.98	Professional	26	$77.98	$77.98	$77.98
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $35.14 / $51.41	Professional		$25.48	$35.14	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $52.46 / $142.60	Professional		$37.14	$52.46	$142.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $29.07 / $45.22	Professional	26	$20.97	$29.07	$45.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $22.92 / $104.03	Professional	TC	$15.28	$22.92	$104.03