Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $275.42	Professional		$100.00	$141.25	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $186.21	Professional		$79.43	$125.89	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $208.93	Professional		$64.57	$104.71	$208.93
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $33.88	Professional	26	$33.88	$33.88	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $363.08	Professional		$64.57	$125.89	$363.08