Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.80 / $29.80 / $29.80	Facility	26	$29.80	$29.80	$29.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $49.64 / $98.03	Professional		$47.15	$49.64	$98.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.80 / $31.17 / $52.29	Professional	26	$29.80	$31.17	$52.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $113.00 / $210.12	Professional		$51.65	$113.00	$210.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.78 / $71.00 / $99.82	Professional	26	$32.78	$71.00	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $110.44 / $161.58	Professional		$64.51	$110.44	$161.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.74 / $56.61 / $90.12	Professional	26	$36.74	$56.61	$90.12
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $63.71 / $84.00 / $94.39	Facility	26	$63.71	$84.00	$94.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.95 / $202.95 / $202.95	Professional		$202.95	$202.95	$202.95
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $127.44 / $127.44 / $127.44	Professional	26	$127.44	$127.44	$127.44
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $304.43 / $304.43 / $304.43	Professional	50	$304.43	$304.43	$304.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $51.99 / $90.40	Professional		$29.53	$51.99	$90.40
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.22 / $159.79	Professional		$54.95	$85.22	$159.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.13 / $47.15 / $77.34	Professional	26	$33.13	$47.15	$77.34