Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.78 / $85.78 / $85.78	Facility	26	$85.78	$85.78	$85.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.50 / $499.89 / $692.83	Professional		$415.50	$499.89	$692.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.70 / $85.78 / $145.65	Professional	26	$69.70	$85.78	$145.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.24 / $460.00 / $552.00	Professional		$372.24	$460.00	$552.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.08 / $95.00 / $167.04	Professional	26	$66.08	$95.00	$167.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.47 / $543.91 / $1,018.97	Professional		$409.47	$543.91	$1,018.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.17 / $95.08 / $174.85	Professional	26	$69.17	$95.08	$174.85
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $89.82 / $107.82 / $171.16	Facility	26	$89.82	$107.82	$171.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.04 / $344.45 / $604.71	Professional		$100.04	$344.45	$604.71
United Facility/Professional Professional Modifier Low / Median / High Price $384.30 / $541.28 / $898.28	Professional		$384.30	$541.28	$898.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.00 / $83.05 / $149.50	Professional	26	$65.00	$83.05	$149.50