Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.70 / $27.70 / $27.70	Facility	26	$27.70	$27.70	$27.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $153.52 / $186.47	Professional		$127.04	$153.52	$186.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.46 / $127.06 / $157.36	Professional	TC	$103.46	$127.06	$157.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $157.56 / $215.46	Professional		$59.08	$157.56	$215.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.77 / $132.47 / $181.17	Professional	TC	$30.77	$132.47	$181.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $148.18 / $280.26	Professional		$72.68	$148.18	$280.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.24 / $143.78 / $233.15	Professional	TC	$38.24	$143.78	$233.15
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.45 / $36.36 / $59.13	Facility	26	$28.45	$36.36	$59.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $173.12 / $275.41	Professional		$45.41	$173.12	$275.41
United Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $136.09 / $238.52	Professional		$99.09	$136.09	$238.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.73 / $107.55 / $203.63	Professional	TC	$71.73	$107.55	$203.63