Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.21 / $45.21 / $45.21	Facility	26	$45.21	$45.21	$45.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $110.89 / $192.40	Professional		$85.97	$110.89	$192.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.76 / $527.00 / $821.95	Professional		$114.76	$527.00	$821.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.46 / $227.62 / $653.00	Professional		$139.46	$227.62	$653.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $76.00 / $97.00 / $164.26	Facility	26	$76.00	$97.00	$164.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $453.41 / $453.41 / $453.41	Professional		$453.41	$453.41	$453.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $94.29 / $166.86	Professional		$44.14	$94.29	$166.86
United Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $190.13 / $542.70	Professional		$130.13	$190.13	$542.70