Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.26 / $402.51 / $683.91	Professional		$341.26	$402.51	$683.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $161.09 / $178.63 / $212.24	Professional	26	$161.09	$178.63	$212.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $167.81 / $209.01 / $364.75	Professional	TC	$167.81	$209.01	$364.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $285.60 / $335.20	Professional		$272.00	$285.60	$335.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.00 / $88.20 / $163.16	Professional	26	$84.00	$88.20	$163.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.16 / $188.00 / $210.97	Professional	TC	$171.16	$188.00	$210.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $365.04	Professional		$326.16	$326.16	$365.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.82 / $153.56 / $153.56	Professional	26	$102.82	$153.56	$153.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $262.22	Professional	TC	$172.60	$172.60	$262.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $333.53 / $576.29 / $662.48	Facility		$333.53	$576.29	$662.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $169.66 / $177.65 / $245.17	Facility	26	$169.66	$177.65	$245.17
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $401.52 / $401.52 / $411.87	Facility	TC	$401.52	$401.52	$411.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $229.38 / $405.88	Professional		$158.97	$229.38	$405.88
United Facility/Professional Professional Modifier Low / Median / High Price $204.62 / $345.77 / $1,166.11	Professional		$204.62	$345.77	$1,166.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.51 / $111.30 / $355.47	Professional	26	$102.51	$111.30	$355.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $227.36 / $810.65	Professional	TC	$97.44	$227.36	$810.65