Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.09 / $19.09 / $54.30	Facility	26	$19.09	$19.09	$54.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $186.84 / $208.42	Professional		$152.30	$186.84	$208.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.91 / $207.81 / $351.66	Professional		$197.91	$207.81	$351.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $200.10 / $379.69	Professional		$115.50	$200.10	$379.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $30.13 / $41.00 / $54.96	Facility	26	$30.13	$41.00	$54.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.37 / $220.08 / $338.73	Professional		$171.37	$220.08	$338.73
United Facility/Professional Professional Modifier Low / Median / High Price $146.02 / $223.25 / $417.06	Professional		$146.02	$223.25	$417.06