Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.95 / $35.48	Facility	26	$19.05	$19.95	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $190.55	Professional		$93.33	$120.23	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $52.48	Professional	26	$19.05	$22.91	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	26	$21.88	$21.88	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $194.98	Professional		$107.15	$131.83	$194.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $40.74 / $60.26	Professional	26	$22.91	$40.74	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $218.78	Professional		$95.50	$134.90	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.90 / $47.86	Professional	26	$22.39	$30.90	$47.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	26	$45.71	$45.71	$45.71
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 $91.20 / $128.82 / $234.42	Professional		$91.20	$128.82	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $27.54 / $47.86	Professional	26	$22.39	$27.54	$47.86