Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.51 / $169.51 / $169.51	Facility	26	$169.51	$169.51	$169.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.96 / $494.18 / $754.50	Professional		$378.96	$494.18	$754.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.10 / $700.00 / $994.46	Professional		$385.10	$700.00	$994.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.49 / $748.37 / $1,268.48	Professional		$500.49	$748.37	$1,268.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $228.02 / $254.24 / $433.21	Facility	26	$228.02	$254.24	$433.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $513.45 / $513.45 / $1,630.61	Professional		$513.45	$513.45	$1,630.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.28 / $313.01 / $529.64	Professional		$129.28	$313.01	$529.64
United Facility/Professional Professional Modifier Low / Median / High Price $467.01 / $656.83 / $1,281.58	Professional		$467.01	$656.83	$1,281.58