Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $91.20 / $229.09	Facility	26	$70.79	$91.20	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $223.87	Professional		$104.71	$134.90	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $295.12	Professional		$131.83	$177.83	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $338.84	Professional		$138.04	$194.98	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Professional	26	$165.96	$165.96	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $269.15	Professional		$125.89	$158.49	$269.15