Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.10 / $46.11 / $46.11	Facility	26	$46.10	$46.11	$46.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $348.04 / $444.33	Professional		$292.89	$348.04	$444.33
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $146.44 / $174.02 / $199.25	Professional	52	$146.44	$174.02	$199.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.77 / $303.33 / $388.00	Professional	TC	$252.77	$303.33	$388.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $272.76 / $401.44	Professional		$192.00	$272.76	$401.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.00 / $174.74 / $339.50	Professional	TC	$123.00	$174.74	$339.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $366.94 / $665.73	Professional		$108.10	$366.94	$665.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $277.88 / $349.26 / $593.78	Professional	TC	$277.88	$349.26	$593.78
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.71 / $69.23 / $117.71	Facility	26	$51.71	$69.23	$117.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $363.98 / $560.26	Professional		$44.14	$363.98	$560.26
United Facility/Professional Professional Modifier Low / Median / High Price $281.44 / $356.57 / $572.54	Professional		$281.44	$356.57	$572.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.63 / $308.93 / $516.00	Professional	TC	$241.63	$308.93	$516.00