Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $100.00 / $123.03	Facility	26	$83.18	$100.00	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $588.84	Professional		$169.82	$295.12	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $95.50 / $213.80	Professional	26	$74.13	$95.50	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $141.25	Professional	26	$63.10	$79.43	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $501.19	Professional		$257.04	$338.84	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $85.11 / $120.23	Professional	26	$64.57	$85.11	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $851.14	Professional		$316.23	$467.74	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $181.97	Professional	26	$79.43	$107.15	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Professional	26	$165.96	$165.96	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $776.25	Professional		$309.03	$436.52	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $104.71 / $181.97	Professional	26	$81.28	$104.71	$181.97