Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.99 / $47.99 / $47.99	Facility	26	$47.99	$47.99	$47.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $189.51 / $321.72	Professional		$154.30	$189.51	$321.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $211.09 / $316.64	Professional		$122.00	$211.09	$316.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.45 / $264.14 / $423.73	Professional		$171.45	$264.14	$423.73
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $58.00 / $61.00 / $119.03	Facility	26	$58.00	$61.00	$119.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $681.94 / $681.94 / $681.94	Professional		$681.94	$681.94	$681.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $191.96 / $308.46	Professional		$63.30	$191.96	$308.46
United Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $236.15 / $341.57	Professional		$187.74	$236.15	$341.57