Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.75 / $50.75 / $145.33	Facility	26	$50.75	$50.75	$145.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $183.17 / $230.47	Professional		$151.68	$183.17	$230.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.79 / $50.75 / $90.51	Professional	26	$39.79	$50.75	$90.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.12 / $45.06 / $45.06	Professional	26	$44.12	$45.06	$45.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $202.51 / $300.48	Professional		$168.00	$202.51	$300.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.63 / $62.12 / $105.00	Professional	26	$55.63	$62.12	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.76 / $239.36 / $426.41	Professional		$159.76	$239.36	$426.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.16 / $67.02 / $139.22	Professional	26	$50.16	$67.02	$139.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $71.48 / $83.00 / $149.12	Facility	26	$71.48	$83.00	$149.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $816.44 / $816.44 / $816.44	Professional		$816.44	$816.44	$816.44
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $220.95 / $220.95 / $220.95	Professional	26	$220.95	$220.95	$220.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $183.60 / $278.47	Professional		$44.14	$183.60	$278.47
United Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $234.50 / $427.88	Professional		$173.05	$234.50	$427.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.50 / $68.23 / $116.26	Professional	26	$46.50	$68.23	$116.26