Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $83.00 / $83.00	Facility	26	$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.68 / $275.00 / $383.66	Professional		$196.68	$275.00	$383.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.50 / $62.55 / $83.00	Professional	26	$53.50	$62.55	$83.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.31 / $46.31 / $100.17	Professional	26	$46.31	$46.31	$100.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $438.63 / $673.53	Professional		$179.93	$438.63	$673.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.96 / $84.00 / $121.13	Professional	26	$55.96	$84.00	$121.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.01 / $381.68 / $675.00	Professional		$248.01	$381.68	$675.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.33 / $84.00 / $154.38	Professional	26	$58.33	$84.00	$154.38
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $106.00 / $187.56	Facility	26	$83.00	$106.00	$187.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $740.64	Professional		$145.72	$145.72	$740.64
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $223.27 / $223.27 / $223.27	Professional	26	$223.27	$223.27	$223.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $161.11 / $253.05	Professional		$44.14	$161.11	$253.05
United Facility/Professional Professional Modifier Low / Median / High Price $219.97 / $347.64 / $628.38	Professional		$219.97	$347.64	$628.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.33 / $77.95 / $129.80	Professional	26	$59.33	$77.95	$129.80