Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $134.90	Professional		$64.57	$87.10	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $30.90	Professional	26	$12.02	$14.13	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $141.25	Professional		$77.62	$97.72	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $20.89 / $36.31	Professional	26	$15.49	$20.89	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $165.96	Professional		$67.61	$95.50	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $19.05 / $30.90	Professional	26	$14.13	$19.05	$30.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Professional	26	$30.90	$30.90	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $162.18	Professional		$63.10	$89.13	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $17.78 / $30.20	Professional	26	$14.13	$17.78	$30.20