Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.36 / $14.37 / $14.37	Facility	26	$14.36	$14.37	$14.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $77.95 / $475.00	Professional		$47.47	$77.95	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.83 / $18.82 / $118.59	Professional	26	$11.83	$18.82	$118.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $11.84 / $19.71	Professional	26	$11.84	$11.84	$19.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $104.00 / $150.55	Professional		$40.84	$104.00	$150.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $15.00 / $23.85	Professional	26	$11.01	$15.00	$23.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $83.51 / $128.88	Professional		$52.76	$83.51	$128.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $15.75 / $27.84	Professional	26	$12.51	$15.75	$27.84
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.85 / $21.39 / $36.34	Facility	26	$17.85	$21.39	$36.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.69 / $174.69 / $174.69	Professional		$174.69	$174.69	$174.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $69.43 / $138.13	Professional		$50.16	$69.43	$138.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.53 / $15.92 / $34.02	Professional	26	$11.53	$15.92	$34.02