Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.53 / $32.54 / $57.31	Facility	26	$32.53	$32.54	$57.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $101.56 / $132.02	Professional		$82.20	$101.56	$132.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $32.54 / $69.93	Professional	26	$20.17	$32.54	$69.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.66 / $35.82 / $64.12	Professional	26	$28.66	$35.82	$64.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $112.78 / $166.91	Professional		$90.00	$112.78	$166.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.82 / $43.11 / $61.77	Professional	26	$35.82	$43.11	$61.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $119.69 / $255.88	Professional		$84.50	$119.69	$255.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.28 / $34.78 / $81.45	Professional	26	$24.28	$34.78	$81.45
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $36.47 / $40.00 / $80.58	Facility	26	$36.47	$40.00	$80.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.40 / $142.40 / $451.09	Professional		$142.40	$142.40	$451.09
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $141.61 / $141.61 / $141.61	Professional	26	$141.61	$141.61	$141.61
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 $86.99 / $125.42 / $226.22	Professional		$86.99	$125.42	$226.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.92 / $39.77 / $73.12	Professional	26	$21.92	$39.77	$73.12