Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.56 / $12.56 / $12.56	Facility	26	$12.56	$12.56	$12.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $81.04 / $88.05	Professional		$61.05	$81.04	$88.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $12.56 / $14.46	Professional	26	$9.83	$12.56	$14.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $91.77 / $126.64	Professional		$80.00	$91.77	$126.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $22.00 / $41.16	Professional	26	$14.13	$22.00	$41.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $94.00 / $174.40	Professional		$64.31	$94.00	$174.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.25 / $20.55 / $33.11	Professional	26	$14.25	$20.55	$33.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $21.00 / $27.00 / $43.78	Facility	26	$21.00	$27.00	$43.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $336.98 / $336.98 / $336.98	Professional		$336.98	$336.98	$336.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.46 / $104.33 / $154.23	Professional		$76.46	$104.33	$154.23
United Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $92.53 / $168.79	Professional		$63.45	$92.53	$168.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.01 / $18.07 / $30.41	Professional	26	$14.01	$18.07	$30.41