Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.09 / $21.09 / $21.09	Facility	26	$21.09	$21.09	$21.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $90.06 / $261.33	Professional		$81.28	$90.06	$261.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $494.00 / $768.71	Professional		$94.66	$494.00	$768.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $193.92 / $612.00	Professional		$115.57	$193.92	$612.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.00 / $46.00 / $79.83	Facility	26	$36.00	$46.00	$79.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $368.26 / $368.26 / $368.26	Professional		$368.26	$368.26	$368.26
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 $107.58 / $152.47 / $490.61	Professional		$107.58	$152.47	$490.61