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 $226.51 / $275.00 / $349.00	Professional		$226.51	$275.00	$349.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.41 / $58.01 / $83.00	Professional	26	$51.41	$58.01	$83.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.48 / $53.48 / $95.73	Professional	26	$53.48	$53.48	$95.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.11 / $411.00 / $592.00	Professional		$216.11	$411.00	$592.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.48 / $85.00 / $120.76	Professional	26	$53.48	$85.00	$120.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.30 / $372.24 / $672.86	Professional		$278.30	$372.24	$672.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.59 / $80.28 / $135.25	Professional	26	$55.59	$80.28	$135.25
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $102.00 / $179.27	Facility	26	$80.00	$102.00	$179.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $836.02	Professional		$145.72	$145.72	$836.02
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $213.48 / $213.48 / $213.48	Professional	26	$213.48	$213.48	$213.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $199.33 / $304.88	Professional		$44.14	$199.33	$304.88
United Facility/Professional Professional Modifier Low / Median / High Price $259.64 / $364.64 / $614.33	Professional		$259.64	$364.64	$614.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.20 / $75.14 / $124.70	Professional	26	$56.20	$75.14	$124.70