Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $83.00 / $83.00	Facility	26	$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.46 / $275.00 / $365.13	Professional		$247.46	$275.00	$365.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.83 / $479.00 / $842.23	Professional		$273.83	$479.00	$842.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.63 / $612.03 / $1,208.36	Professional		$443.63	$612.03	$1,208.36
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $171.86 / $173.36 / $346.71	Facility	26	$171.86	$173.36	$346.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $1,058.74	Professional		$145.72	$145.72	$1,058.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $191.65 / $358.68	Professional		$126.57	$191.65	$358.68
United Facility/Professional Professional Modifier Low / Median / High Price $445.90 / $627.08 / $1,011.00	Professional		$445.90	$627.08	$1,011.00