Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.10 / $15.10 / $15.10	Facility	26	$15.10	$15.10	$15.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $43.40 / $74.34	Professional		$25.37	$43.40	$74.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.10 / $22.45	Professional	26	$12.88	$15.10	$22.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.63 / $28.05 / $42.78	Professional	TC	$11.63	$28.05	$42.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $40.06 / $54.78	Professional		$31.00	$40.06	$54.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.51 / $18.00 / $27.29	Professional	26	$13.51	$18.00	$27.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.00 / $16.88 / $31.95	Professional	TC	$13.00	$16.88	$31.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $42.78 / $103.56	Professional		$28.35	$42.78	$103.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $19.29 / $34.76	Professional	26	$15.80	$19.29	$34.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.21 / $21.60 / $69.80	Professional	TC	$12.21	$21.60	$69.80
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.38 / $17.29 / $27.88	Facility	26	$15.38	$17.29	$27.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $22.34 / $22.34	Professional		$22.34	$22.34	$22.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $37.00 / $57.58	Professional		$28.75	$37.00	$57.58
United Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $37.03 / $61.64	Professional		$24.87	$37.03	$61.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.82 / $15.35 / $25.59	Professional	26	$12.82	$15.35	$25.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.58 / $20.49 / $39.03	Professional	TC	$10.58	$20.49	$39.03