Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.15 / $62.15 / $62.15	Facility	26	$62.15	$62.15	$62.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.49 / $130.66 / $152.04	Professional		$121.49	$130.66	$152.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $261.00 / $457.51	Professional		$136.62	$261.00	$457.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $191.28 / $284.61	Professional		$149.94	$191.28	$284.61
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $100.56 / $105.50 / $218.42	Facility	26	$100.56	$105.50	$218.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $115.68 / $115.68	Professional		$115.68	$115.68	$115.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $83.61 / $161.31	Professional		$54.90	$83.61	$161.31
United Facility/Professional Professional Modifier Low / Median / High Price $131.12 / $185.10 / $295.51	Professional		$131.12	$185.10	$295.51