Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.22 / $20.22 / $20.22	Facility	26	$20.22	$20.22	$20.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $95.56 / $107.98	Professional		$59.75	$95.56	$107.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $59.67 / $108.20	Professional		$42.00	$59.67	$108.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $92.15 / $162.54	Professional		$32.65	$92.15	$162.54
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.54 / $26.00 / $42.64	Facility	26	$19.54	$26.00	$42.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $72.97 / $109.69	Professional		$55.22	$72.97	$109.69
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $89.98 / $146.69	Professional		$41.11	$89.98	$146.69