Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.13 / $93.13 / $210.92	Facility	26	$93.13	$93.13	$210.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.43 / $274.95 / $745.45	Professional		$224.43	$274.95	$745.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $187.09 / $307.56	Professional		$133.00	$187.09	$307.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.44 / $317.77 / $576.33	Professional		$236.44	$317.77	$576.33
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $101.00 / $102.72 / $143.13	Facility	26	$101.00	$102.72	$143.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $143.83 / $217.09	Professional		$125.70	$143.83	$217.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $162.82 / $313.39	Professional		$97.16	$162.82	$313.39
United Facility/Professional Professional Modifier Low / Median / High Price $191.95 / $305.89 / $581.67	Professional		$191.95	$305.89	$581.67