Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.63 / $55.63 / $55.63	Facility	26	$55.63	$55.63	$55.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.83 / $252.81 / $453.04	Professional		$225.83	$252.81	$453.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.44 / $55.63 / $75.13	Professional	26	$49.44	$55.63	$75.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $289.60 / $487.17	Professional		$233.00	$289.60	$487.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.83 / $132.72 / $180.49	Professional	26	$49.83	$132.72	$180.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $280.14 / $485.30	Professional		$222.24	$280.14	$485.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.82 / $67.53 / $105.35	Professional	26	$54.82	$67.53	$105.35
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $57.91 / $94.68 / $164.01	Facility	26	$57.91	$94.68	$164.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $880.18 / $880.18 / $880.18	Professional		$880.18	$880.18	$880.18
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $194.89 / $194.89 / $194.89	Professional	26	$194.89	$194.89	$194.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $258.04 / $428.92	Professional		$63.30	$258.04	$428.92
United Facility/Professional Professional Modifier Low / Median / High Price $211.85 / $278.48 / $342.11	Professional		$211.85	$278.48	$342.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.14 / $63.73 / $91.49	Professional	26	$51.14	$63.73	$91.49