Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.97 / $22.97 / $22.97	Facility	26	$22.97	$22.97	$22.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $109.90 / $140.87	Professional		$87.04	$109.90	$140.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $131.00 / $175.13	Professional		$111.55	$131.00	$175.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $137.86 / $268.58	Professional		$98.54	$137.86	$268.58
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.00 / $47.00 / $79.50	Facility	26	$36.00	$47.00	$79.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $479.21 / $479.21 / $479.21	Professional		$479.21	$479.21	$479.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $118.03 / $177.87	Professional		$44.14	$118.03	$177.87
United Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $140.34 / $236.28	Professional		$85.81	$140.34	$236.28