Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.22 / $58.23 / $58.23	Facility	26	$58.22	$58.23	$58.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.35 / $196.77 / $393.45	Professional		$151.35	$196.77	$393.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $291.00 / $550.00	Professional		$194.32	$291.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.29 / $303.14 / $547.40	Professional		$244.29	$303.14	$547.40
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $124.49 / $213.29	Facility	26	$80.00	$124.49	$213.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $804.89	Professional		$187.72	$187.72	$804.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $140.61 / $242.81	Professional		$63.54	$140.61	$242.81
United Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $400.44 / $1,129.38	Professional		$229.81	$400.44	$1,129.38