Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.60 / $103.60 / $103.60	Facility	26	$103.60	$103.60	$103.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.88 / $400.00 / $491.73	Professional		$279.88	$400.00	$491.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.70 / $103.60 / $154.99	Professional	26	$84.70	$103.60	$154.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.89 / $63.89 / $78.89	Professional	26	$63.89	$63.89	$78.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.49 / $660.00 / $1,011.32	Professional		$249.49	$660.00	$1,011.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.89 / $194.54 / $299.86	Professional	26	$78.89	$194.54	$299.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.83 / $550.46 / $985.81	Professional		$314.83	$550.46	$985.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.05 / $120.76 / $206.72	Professional	26	$88.05	$120.76	$206.72
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $138.65 / $161.00 / $262.11	Facility	26	$138.65	$161.00	$262.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.42 / $300.42 / $1,029.96	Professional		$300.42	$300.42	$1,029.96
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $311.70 / $311.70 / $311.70	Professional	26	$311.70	$311.70	$311.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $204.24 / $329.95	Professional		$96.53	$204.24	$329.95
United Facility/Professional Professional Modifier Low / Median / High Price $299.43 / $420.17 / $855.36	Professional		$299.43	$420.17	$855.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.18 / $106.62 / $178.41	Professional	26	$82.18	$106.62	$178.41