Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.81 / $14.81 / $14.81	Facility	26	$14.81	$14.81	$14.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $45.98 / $61.17	Professional		$42.55	$45.98	$61.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $14.81 / $16.85	Professional	26	$12.55	$14.81	$16.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.84 / $31.43 / $44.32	Professional	TC	$29.84	$31.43	$44.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $66.00 / $95.54	Professional		$37.43	$66.00	$95.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $20.00 / $28.64	Professional	26	$12.95	$20.00	$28.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.48 / $46.00 / $65.89	Professional	TC	$24.48	$46.00	$65.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $66.30 / $102.38	Professional		$53.87	$66.30	$102.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.13 / $20.44 / $34.08	Professional	26	$16.13	$20.44	$34.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.78 / $45.83 / $72.94	Professional	TC	$37.78	$45.83	$72.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $16.87 / $19.32 / $28.43	Facility	26	$16.87	$19.32	$28.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $51.56 / $51.56	Professional		$51.56	$51.56	$51.56
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 $42.15 / $52.61 / $93.55	Professional		$42.15	$52.61	$93.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $15.52 / $25.78	Professional	26	$12.42	$15.52	$25.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.62 / $36.28 / $58.91	Professional	TC	$28.62	$36.28	$58.91