Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.49 / $107.49 / $107.49	Facility	26	$107.49	$107.49	$107.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $234.16 / $290.39	Professional		$172.82	$234.16	$290.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $257.00 / $415.97	Professional		$201.42	$257.00	$415.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $242.98 / $400.58	Professional		$102.55	$242.98	$400.58
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $104.69 / $134.00 / $227.56	Facility	26	$104.69	$134.00	$227.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.99 / $160.40 / $297.51	Professional		$97.99	$160.40	$297.51
United Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $242.39 / $405.67	Professional		$170.60	$242.39	$405.67