Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.01 / $61.01 / $61.01	Facility	26	$61.01	$61.01	$61.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.27 / $389.69 / $734.58	Professional		$308.27	$389.69	$734.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.32 / $61.01 / $82.45	Professional	26	$50.32	$61.01	$82.45
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $154.13 / $191.88 / $244.85	Professional	52	$154.13	$191.88	$244.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.94 / $335.36 / $652.12	Professional	TC	$257.94	$335.36	$652.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.90 / $486.00 / $814.34	Professional		$369.90	$486.00	$814.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.57 / $233.00 / $331.01	Professional	26	$54.57	$233.00	$331.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $253.00 / $315.33 / $528.98	Professional	TC	$253.00	$315.33	$528.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.31 / $539.49 / $786.90	Professional		$424.31	$539.49	$786.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.89 / $90.36 / $125.09	Professional	26	$64.89	$90.36	$125.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $368.67 / $447.71 / $671.15	Professional	TC	$368.67	$447.71	$671.15
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $80.16 / $97.00 / $131.26	Facility	26	$80.16	$97.00	$131.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $398.01 / $621.01	Professional		$45.41	$398.01	$621.01
United Facility/Professional Professional Modifier Low / Median / High Price $373.20 / $466.56 / $692.90	Professional		$373.20	$466.56	$692.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $73.28 / $112.86	Professional	26	$56.84	$73.28	$112.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $317.89 / $391.68 / $597.65	Professional	TC	$317.89	$391.68	$597.65