Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.18 / $111.18 / $237.94	Facility	26	$111.18	$111.18	$237.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.88 / $433.90 / $570.72	Professional		$253.88	$433.90	$570.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $239.13 / $418.82	Professional		$136.00	$239.13	$418.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.72 / $345.49 / $852.45	Professional		$211.72	$345.49	$852.45
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $102.00 / $105.43 / $176.46	Facility	26	$102.00	$105.43	$176.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.09 / $327.58 / $571.96	Professional		$131.09	$327.58	$571.96
United Facility/Professional Professional Modifier Low / Median / High Price $248.68 / $372.47 / $863.66	Professional		$248.68	$372.47	$863.66