Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.57 / $46.57 / $46.57	Facility	26	$46.57	$46.57	$46.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.65 / $203.16 / $236.43	Professional		$201.65	$203.16	$236.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $233.78 / $352.92	Professional		$201.00	$233.78	$352.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.70 / $311.05 / $472.38	Professional		$230.70	$311.05	$472.38
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $59.60 / $120.83 / $187.43	Facility	26	$59.60	$120.83	$187.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.21 / $197.21 / $197.21	Professional		$197.21	$197.21	$197.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $189.09 / $320.72	Professional		$63.11	$189.09	$320.72
United Facility/Professional Professional Modifier Low / Median / High Price $201.34 / $293.62 / $461.38	Professional		$201.34	$293.62	$461.38