Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.58 / $20.59 / $24.59	Facility	26	$20.58	$20.59	$24.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $82.04 / $203.85	Professional		$50.07	$82.04	$203.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $22.96 / $95.00	Professional	26	$15.71	$22.96	$95.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.18 / $24.68 / $41.10	Professional	26	$18.18	$24.68	$41.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $141.00 / $193.59	Professional		$70.48	$141.00	$193.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.96 / $33.00 / $49.08	Professional	26	$22.96	$33.00	$49.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $127.26 / $204.13	Professional		$74.48	$127.26	$204.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $26.09 / $56.50	Professional	26	$18.89	$26.09	$56.50
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.30 / $31.00 / $60.90	Facility	26	$28.30	$31.00	$60.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $274.97 / $274.97 / $300.42	Professional		$274.97	$274.97	$300.42
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $89.57 / $89.57	Professional	26	$89.57	$89.57	$89.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $80.55 / $129.73	Professional		$44.14	$80.55	$129.73
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $112.01 / $204.26	Professional		$71.31	$112.01	$204.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.54 / $27.92 / $46.64	Professional	26	$16.54	$27.92	$46.64