Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.40 / $29.40 / $29.40	Facility	26	$29.40	$29.40	$29.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.86 / $192.63 / $314.95	Professional		$178.86	$192.63	$314.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.15 / $360.97	Professional		$190.55	$213.15	$360.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.09 / $268.63 / $422.96	Professional		$179.09	$268.63	$422.96
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $52.77 / $63.00 / $110.16	Facility	26	$52.77	$63.00	$110.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $184.17 / $269.68	Professional		$41.02	$184.17	$269.68
United Facility/Professional Professional Modifier Low / Median / High Price $177.55 / $259.64 / $443.88	Professional		$177.55	$259.64	$443.88