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 / $103.75	Facility	26	$83.00	$83.00	$103.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.53 / $275.00 / $618.48	Professional		$219.53	$275.00	$618.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $83.00 / $127.20	Professional	26	$55.00	$83.00	$127.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.42 / $79.50 / $142.31	Professional	26	$64.42	$79.50	$142.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.83 / $336.00 / $564.53	Professional		$241.83	$336.00	$564.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.00 / $79.50 / $119.82	Professional	26	$65.00	$79.50	$119.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.61 / $468.68 / $803.15	Professional		$328.61	$468.68	$803.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.40 / $113.29 / $214.10	Professional	26	$83.40	$113.29	$214.10
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $118.00 / $151.00 / $263.32	Facility	26	$118.00	$151.00	$263.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $935.57	Professional		$145.72	$145.72	$935.57
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $313.17 / $313.17 / $313.17	Professional	26	$313.17	$313.17	$313.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $178.71 / $320.65	Professional		$96.53	$178.71	$320.65
United Facility/Professional Professional Modifier Low / Median / High Price $307.88 / $435.24 / $733.63	Professional		$307.88	$435.24	$733.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.95 / $110.00 / $183.17	Professional	26	$80.95	$110.00	$183.17