Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.22 / $84.22 / $84.22	Facility	26	$84.22	$84.22	$84.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $211.07 / $244.82	Professional		$165.44	$211.07	$244.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.40 / $254.00 / $389.20	Professional		$235.40	$254.00	$389.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.15 / $271.62 / $553.32	Professional		$186.15	$271.62	$553.32
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $132.00 / $160.37 / $227.36	Facility	26	$132.00	$160.37	$227.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $320.00 / $604.29	Professional		$145.72	$320.00	$604.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $187.77 / $348.55	Professional		$99.08	$187.77	$348.55
United Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $240.00 / $452.51	Professional		$177.58	$240.00	$452.51