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 $174.81 / $275.00 / $275.00	Professional		$174.81	$275.00	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $62.55 / $83.00	Professional	26	$51.30	$62.55	$83.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.56 / $56.25 / $100.69	Professional	26	$45.56	$56.25	$100.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $441.46 / $643.42	Professional		$182.00	$441.46	$643.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.25 / $84.00 / $186.20	Professional	26	$56.25	$84.00	$186.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.38 / $380.65 / $683.39	Professional		$248.38	$380.65	$683.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.33 / $84.00 / $155.19	Professional	26	$58.33	$84.00	$155.19
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $106.00 / $186.59	Facility	26	$83.00	$106.00	$186.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $743.14	Professional		$145.72	$145.72	$743.14
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $222.24 / $222.24 / $222.24	Professional	26	$222.24	$222.24	$222.24
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 $222.51 / $332.70 / $597.47	Professional		$222.51	$332.70	$597.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.64 / $84.45 / $124.26	Professional	26	$59.64	$84.45	$124.26