Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.43 / $47.43 / $47.43	Facility	26	$47.43	$47.43	$47.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $98.12 / $109.91	Professional		$88.36	$98.12	$109.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.88 / $52.59 / $57.98	Professional	TC	$46.88	$52.59	$57.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $85.12 / $145.86	Professional		$81.06	$85.12	$145.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.00 / $38.54 / $59.73	Professional	TC	$29.00	$38.54	$59.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $111.40 / $185.05	Professional		$75.09	$111.40	$185.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.79 / $58.86 / $94.42	Professional	TC	$15.79	$58.86	$94.42
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $49.38 / $64.00 / $100.12	Facility	26	$49.38	$64.00	$100.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $54.68 / $137.35	Professional		$30.05	$54.68	$137.35
United Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $100.69 / $160.56	Professional		$78.81	$100.69	$160.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.61 / $50.89 / $90.44	Professional	TC	$35.61	$50.89	$90.44