Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.19 / $153.19 / $153.19	Facility	26	$153.19	$153.19	$153.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.06 / $202.21 / $295.91	Professional		$170.06	$202.21	$295.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $169.41 / $243.26	Professional		$131.00	$169.41	$243.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $203.36 / $347.08	Professional		$92.55	$203.36	$347.08
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $94.00 / $146.86 / $266.31	Facility	26	$94.00	$146.86	$266.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $143.60 / $237.51	Professional		$31.88	$143.60	$237.51
United Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $198.14 / $334.77	Professional		$155.15	$198.14	$334.77