Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $20.42 / $32.36	Facility	26	$19.95	$20.42	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $213.80	Professional		$50.12	$77.62	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $32.36 / $91.20	Professional	26	$18.20	$32.36	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $23.99 / $41.69	Professional	26	$18.62	$23.99	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $199.53	Professional		$79.43	$120.23	$199.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.11 / $48.98	Professional	26	$23.99	$33.11	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $218.78	Professional		$70.79	$125.89	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.70 / $38.02	Professional	26	$18.20	$25.70	$38.02
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $34.67 / $34.67	Professional	26	$34.67	$34.67	$34.67
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 $70.79 / $112.20 / $234.42	Professional		$70.79	$112.20	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $25.70 / $46.77	Professional	26	$16.60	$25.70	$46.77