Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.20 / $94.21 / $134.88	Facility	26	$94.20	$94.21	$134.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $163.13 / $279.88	Professional		$137.24	$163.13	$279.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $178.43 / $264.79	Professional		$150.37	$178.43	$264.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.01 / $198.98 / $382.22	Professional		$164.01	$198.98	$382.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $106.37 / $162.49 / $169.00	Facility	26	$106.37	$162.49	$169.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $118.54 / $218.45	Professional		$65.16	$118.54	$218.45
United Facility/Professional Professional Modifier Low / Median / High Price $129.81 / $162.40 / $304.55	Professional		$129.81	$162.40	$304.55