Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.31 / $131.31 / $162.82	Facility	26	$131.31	$131.31	$162.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.64 / $871.47 / $2,380.88	Professional		$786.64	$871.47	$2,380.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.00 / $831.38 / $1,403.66	Professional		$729.00	$831.38	$1,403.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.90 / $1,012.64 / $1,926.25	Professional		$801.90	$1,012.64	$1,926.25
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $163.63 / $168.36 / $228.26	Facility	26	$163.63	$168.36	$228.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,266.50 / $2,266.50 / $2,266.50	Professional		$2,266.50	$2,266.50	$2,266.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.21 / $714.40 / $1,132.21	Professional		$101.21	$714.40	$1,132.21
United Facility/Professional Professional Modifier Low / Median / High Price $733.17 / $1,021.93 / $1,625.34	Professional		$733.17	$1,021.93	$1,625.34