Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.25 / $164.99 / $251.32	Professional		$149.25	$164.99	$251.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.83 / $277.00 / $487.05	Professional		$151.83	$277.00	$487.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.91 / $372.02 / $703.79	Professional		$253.91	$372.02	$703.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $59.60 / $68.80 / $130.99	Facility	26	$59.60	$68.80	$130.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $596.67 / $596.67 / $596.67	Professional		$596.67	$596.67	$596.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $114.56 / $210.66	Professional		$64.59	$114.56	$210.66
United Facility/Professional Professional Modifier Low / Median / High Price $255.56 / $335.34 / $570.75	Professional		$255.56	$335.34	$570.75