Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.49 / $44.49 / $44.49	Facility	26	$44.49	$44.49	$44.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.97 / $127.56 / $293.68	Professional		$93.97	$127.56	$293.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $527.00 / $821.95	Professional		$103.71	$527.00	$821.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $220.61 / $652.00	Professional		$128.11	$220.61	$652.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $82.41 / $96.00 / $161.75	Facility	26	$82.41	$96.00	$161.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $410.47 / $410.47 / $410.47	Professional		$410.47	$410.47	$410.47
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 $121.71 / $203.11 / $570.60	Professional		$121.71	$203.11	$570.60