Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $26.65 / $26.65	Facility	26	$26.65	$26.65	$26.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $131.29 / $171.54	Professional		$48.57	$131.29	$171.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $27.12 / $36.11	Professional	26	$26.07	$27.12	$36.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $127.25 / $204.90	Professional		$98.00	$127.25	$204.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.63 / $38.52 / $75.94	Professional	26	$29.63	$38.52	$75.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.75 / $28.75 / $71.73	Facility	26	$28.75	$28.75	$71.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $161.24 / $267.63	Professional		$45.50	$161.24	$267.63
United Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $119.46 / $287.60	Professional		$61.78	$119.46	$287.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.83 / $39.11 / $65.41	Professional	26	$26.83	$39.11	$65.41