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 $171.00 / $198.77 / $231.48	Professional		$171.00	$198.77	$231.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $258.00 / $430.08	Professional		$223.38	$258.00	$430.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.59 / $260.98 / $465.62	Professional		$191.59	$260.98	$465.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $104.77 / $104.77 / $218.42	Facility	26	$104.77	$104.77	$218.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $268.99 / $268.99 / $268.99	Professional		$268.99	$268.99	$268.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $173.16 / $292.04	Professional		$63.11	$173.16	$292.04
United Facility/Professional Professional Modifier Low / Median / High Price $166.87 / $246.77 / $426.59	Professional		$166.87	$246.77	$426.59