Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.75 / $79.75 / $79.75	Facility	26	$79.75	$79.75	$79.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.54 / $160.13 / $332.03	Professional		$134.54	$160.13	$332.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $79.75 / $139.60	Professional	26	$49.34	$79.75	$139.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $527.00 / $821.95	Professional		$156.41	$527.00	$821.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.00 / $94.97 / $156.25	Professional	26	$83.00	$94.97	$156.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $280.14 / $652.00	Professional		$157.19	$280.14	$652.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.55 / $84.71 / $162.07	Professional	26	$56.55	$84.71	$162.07
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $83.07 / $95.00 / $195.22	Facility	26	$83.07	$95.00	$195.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.03 / $616.03 / $616.03	Professional		$616.03	$616.03	$616.03
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $342.13 / $342.13 / $342.13	Professional	26	$342.13	$342.13	$342.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $112.99 / $201.80	Professional		$60.81	$112.99	$201.80
United Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $242.56 / $541.84	Professional		$168.90	$242.56	$541.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.63 / $95.71 / $168.41	Professional	26	$51.63	$95.71	$168.41