Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.71 / $18.71 / $18.71	Facility	26	$18.71	$18.71	$18.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $40.43 / $97.23	Professional		$38.20	$40.43	$97.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.71 / $19.64 / $36.70	Professional	26	$18.71	$19.64	$36.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $93.00 / $167.95	Professional		$42.41	$93.00	$167.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $44.58 / $60.70	Professional	26	$20.88	$44.58	$60.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $80.01 / $121.55	Professional		$48.86	$80.01	$121.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.20 / $33.04 / $54.52	Professional	26	$23.20	$33.04	$54.52
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $39.99 / $49.00 / $56.54	Facility	26	$39.99	$49.00	$56.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.31 / $165.31 / $165.31	Professional		$165.31	$165.31	$165.31
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $80.33 / $80.33 / $80.33	Professional	26	$80.33	$80.33	$80.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $35.94 / $54.24	Professional		$25.98	$35.94	$54.24
United Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $64.61 / $106.94	Professional		$44.17	$64.61	$106.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $27.59 / $46.72	Professional	26	$21.11	$27.59	$46.72