Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.58 / $42.58 / $42.58	Facility	26	$42.58	$42.58	$42.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $105.51 / $121.52	Professional		$77.31	$105.51	$121.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $93.91 / $147.63	Professional		$83.00	$93.91	$147.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $108.08 / $183.22	Professional		$69.72	$108.08	$183.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $41.71 / $54.00 / $89.77	Facility	26	$41.71	$54.00	$89.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $86.86 / $137.79	Professional		$45.41	$86.86	$137.79
United Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $106.76 / $174.33	Professional		$68.16	$106.76	$174.33