Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.65 / $33.65 / $33.65	Facility	26	$33.65	$33.65	$33.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $93.94 / $161.65	Professional		$76.23	$93.94	$161.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.27 / $35.01 / $60.49	Professional	26	$32.27	$35.01	$60.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.23 / $404.00 / $584.83	Professional		$100.23	$404.00	$584.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.06 / $64.00 / $90.92	Professional	26	$37.06	$64.00	$90.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $172.84 / $414.00	Professional		$101.89	$172.84	$414.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $55.00 / $94.24	Professional	26	$37.65	$55.00	$94.24
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $58.26 / $70.00 / $125.08	Facility	26	$58.26	$70.00	$125.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $403.88 / $403.88 / $403.88	Professional		$403.88	$403.88	$403.88
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $147.57 / $147.57 / $147.57	Professional	26	$147.57	$147.57	$147.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $80.55 / $128.34	Professional		$44.14	$80.55	$128.34
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $157.19 / $344.33	Professional		$101.03	$157.19	$344.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.83 / $50.88 / $86.88	Professional	26	$37.83	$50.88	$86.88