Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Facility	26	$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $69.18 / $95.50	Professional		$61.66	$69.18	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $114.82	Professional		$74.13	$83.18	$114.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.47 / $20.89 / $29.51	Facility	26	$4.47	$20.89	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $181.97	Professional		$70.79	$95.50	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $109.65	Professional		$97.72	$97.72	$109.65
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	26	$30.20	$30.20	$30.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $117.49	Professional		$58.88	$72.44	$117.49