Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $32.90 / $32.90	Facility	26	$32.90	$32.90	$32.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $87.77 / $123.33	Professional		$82.32	$87.77	$123.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.58 / $31.89 / $47.91	Professional	26	$28.58	$31.89	$47.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $138.00 / $211.46	Professional		$80.98	$138.00	$211.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.40 / $68.00 / $90.39	Professional	26	$29.40	$68.00	$90.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $118.59 / $191.95	Professional		$93.45	$118.59	$191.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.06 / $43.13 / $71.95	Professional	26	$34.06	$43.13	$71.95
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $35.86 / $57.20 / $87.15	Facility	26	$35.86	$57.20	$87.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $107.57 / $223.79	Professional		$84.19	$107.57	$223.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $89.37 / $146.79	Professional		$45.50	$89.37	$146.79
United Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $90.40 / $147.65	Professional		$75.31	$90.40	$147.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.04 / $33.47 / $53.55	Professional	26	$28.04	$33.47	$53.55