Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $83.00 / $83.00	Facility	26	$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $143.28 / $275.00	Professional		$112.46	$143.28	$275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $221.00 / $388.58	Professional		$101.15	$221.00	$388.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $160.91 / $273.27	Professional		$123.44	$160.91	$273.27
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $75.69 / $99.00 / $128.79	Facility	26	$75.69	$99.00	$128.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $89.47 / $145.83	Professional		$48.51	$89.47	$145.83
United Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $144.19 / $239.29	Professional		$111.41	$144.19	$239.29