Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.42 / $25.42 / $25.42	Facility	26	$25.42	$25.42	$25.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.54 / $119.53 / $151.71	Professional		$97.54	$119.53	$151.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.67 / $25.42 / $29.43	Professional	26	$21.67	$25.42	$29.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $82.31 / $82.31	Professional		$82.31	$82.31	$82.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $154.00 / $218.78	Professional		$96.83	$154.00	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.35 / $41.00 / $73.75	Professional	26	$28.35	$41.00	$73.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $156.00 / $285.51	Professional		$112.75	$156.00	$285.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.66 / $36.27 / $63.32	Professional	26	$26.66	$36.27	$63.32
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $40.25 / $46.00 / $84.28	Facility	26	$40.25	$46.00	$84.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $532.13 / $532.13 / $532.13	Professional		$532.13	$532.13	$532.13
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $103.26 / $103.26 / $103.26	Professional	26	$103.26	$103.26	$103.26
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $798.19 / $798.19 / $798.19	Professional	50	$798.19	$798.19	$798.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $94.29 / $166.86	Professional		$44.14	$94.29	$166.86
United Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $152.28 / $256.42	Professional		$106.95	$152.28	$256.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.43 / $35.18 / $58.34	Professional	26	$25.43	$35.18	$58.34