Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.40 / $15.40 / $44.32	Facility	26	$15.40	$15.40	$44.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $83.60 / $163.97	Professional		$71.84	$83.60	$163.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.01 / $145.01 / $145.01	Professional		$145.01	$145.01	$145.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $95.80 / $175.63	Professional		$81.01	$95.80	$175.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $96.63 / $188.48	Professional		$68.78	$96.63	$188.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $27.35 / $33.00 / $55.93	Facility	26	$27.35	$33.00	$55.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $350.52 / $350.52 / $350.52	Professional		$350.52	$350.52	$350.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $69.55 / $102.82	Professional		$50.97	$69.55	$102.82
United Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $97.61 / $172.80	Professional		$66.93	$97.61	$172.80