Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.04 / $58.04 / $58.04	Facility	26	$58.04	$58.04	$58.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.29 / $395.96 / $584.99	Professional		$304.29	$395.96	$584.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.50 / $333.35 / $508.86	Professional	TC	$247.50	$333.35	$508.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $231.84 / $447.95	Professional		$158.00	$231.84	$447.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.00 / $142.30 / $370.52	Professional	TC	$80.00	$142.30	$370.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.34 / $409.46 / $735.02	Professional		$220.34	$409.46	$735.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.75 / $354.77 / $622.92	Professional	TC	$163.75	$354.77	$622.92
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $73.00 / $122.97	Facility	26	$55.81	$73.00	$122.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.74 / $357.20 / $591.52	Professional		$65.74	$357.20	$591.52
United Facility/Professional Professional Modifier Low / Median / High Price $227.54 / $390.55 / $625.62	Professional		$227.54	$390.55	$625.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.19 / $314.67 / $487.17	Professional	TC	$181.19	$314.67	$487.17