Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Facility	26	$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $275.42	Professional		$117.49	$147.91	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $295.12 / $794.33	Professional		$141.25	$295.12	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $691.83	Professional		$131.83	$245.47	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	26	$104.71	$104.71	$104.71
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 $141.25 / $239.88 / $575.44	Professional		$141.25	$239.88	$575.44