Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.55 / $57.55 / $57.55	Facility	26	$57.55	$57.55	$57.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.36 / $120.51 / $214.90	Professional		$106.36	$120.51	$214.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $139.00 / $207.04	Professional		$121.27	$139.00	$207.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $160.38 / $299.50	Professional		$117.51	$160.38	$299.50
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $79.61 / $89.00 / $151.78	Facility	26	$79.61	$89.00	$151.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $106.94 / $483.44	Professional		$106.94	$106.94	$483.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $80.55 / $130.74	Professional		$44.14	$80.55	$130.74
United Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $148.01 / $250.76	Professional		$119.07	$148.01	$250.76