Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $72.44	Professional		$41.69	$47.86	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $20.89	Professional	26	$12.02	$15.14	$20.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $33.11 / $51.29	Professional	TC	$28.84	$33.11	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $91.20	Professional		$37.15	$64.57	$91.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.50 / $28.84	Professional	26	$13.18	$19.50	$28.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $44.67 / $64.57	Professional	TC	$24.55	$44.67	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $91.20	Professional		$53.70	$63.10	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $19.95 / $29.51	Professional	26	$16.22	$19.95	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $44.67 / $61.66	Professional	TC	$37.15	$44.67	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $85.11	Professional		$72.44	$72.44	$85.11
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $22.91 / $25.70	Professional	26	$22.91	$22.91	$25.70
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $33.88 / $33.88	Professional	TC	$33.88	$33.88	$33.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $83.18	Professional		$41.69	$52.48	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.85 / $25.70	Professional	26	$12.59	$15.85	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $37.15 / $57.54	Professional	TC	$29.51	$37.15	$57.54