Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.50 / $89.50 / $89.50	Facility	26	$89.50	$89.50	$89.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $147.13 / $205.56	Professional		$130.29	$147.13	$205.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $200.00 / $289.80	Professional		$134.80	$200.00	$289.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $183.33 / $291.20	Professional		$152.22	$183.33	$291.20
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $100.38 / $133.06 / $224.53	Facility	26	$100.38	$133.06	$224.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $116.92 / $211.73	Professional		$63.76	$116.92	$211.73
United Facility/Professional Professional Modifier Low / Median / High Price $138.37 / $153.74 / $253.98	Professional		$138.37	$153.74	$253.98