Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.26 / $112.26 / $112.26	Facility	26	$112.26	$112.26	$112.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.93 / $392.05 / $442.36	Professional		$313.93	$392.05	$442.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.00 / $326.70 / $526.83	Professional		$229.00	$326.70	$526.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.77 / $455.96 / $763.14	Professional		$255.77	$455.96	$763.14
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $117.45 / $155.00 / $208.29	Facility	26	$117.45	$155.00	$208.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $283.51 / $492.27	Professional		$100.11	$283.51	$492.27
United Facility/Professional Professional Modifier Low / Median / High Price $252.38 / $378.17 / $617.47	Professional		$252.38	$378.17	$617.47