Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.76 / $34.76 / $34.76	Facility	26	$34.76	$34.76	$34.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $89.06 / $105.32	Professional		$70.20	$89.06	$105.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.28 / $35.01 / $41.20	Professional	26	$27.28	$35.01	$41.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.17 / $111.29 / $167.50	Professional		$101.17	$111.29	$167.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $41.58 / $58.79	Professional	26	$39.19	$41.58	$58.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $136.97 / $227.89	Professional		$96.81	$136.97	$227.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.39 / $54.69 / $94.08	Professional	26	$39.39	$54.69	$94.08
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $58.55 / $71.00 / $120.66	Facility	26	$58.55	$71.00	$120.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $376.91 / $376.91 / $376.91	Professional		$376.91	$376.91	$376.91
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $147.79 / $147.79 / $147.79	Professional	26	$147.79	$147.79	$147.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $80.55 / $130.74	Professional		$44.14	$80.55	$130.74
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $123.34 / $207.77	Professional		$84.57	$123.34	$207.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.17 / $50.84 / $82.98	Professional	26	$38.17	$50.84	$82.98