Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.89 / $19.89 / $34.24	Facility	26	$19.89	$19.89	$34.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.58 / $110.82 / $129.52	Professional		$90.58	$110.82	$129.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.35 / $20.64 / $33.58	Professional	26	$18.35	$20.64	$33.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Professional	26	$17.32	$17.32	$17.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $129.60 / $220.12	Professional		$108.00	$129.60	$220.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.40 / $45.50 / $67.50	Professional	26	$21.40	$45.50	$67.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $130.35 / $232.91	Professional		$94.46	$130.35	$232.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $31.85 / $54.06	Professional	26	$22.52	$31.85	$54.06
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $34.68 / $41.00 / $71.59	Facility	26	$34.68	$41.00	$71.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $492.16	Professional		$145.72	$145.72	$492.16
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $84.57 / $84.57 / $84.57	Professional	26	$84.57	$84.57	$84.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.46 / $104.33 / $154.23	Professional		$76.46	$104.33	$154.23
United Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $138.33 / $248.68	Professional		$93.95	$138.33	$248.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.18 / $29.73 / $49.85	Professional	26	$22.18	$29.73	$49.85