Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.40 / $78.41 / $138.84	Facility	26	$78.40	$78.41	$138.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $161.29 / $352.14	Professional		$130.03	$161.29	$352.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.09 / $80.86 / $155.00	Professional	26	$75.09	$80.86	$155.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $61.71 / $130.75	Professional	26	$61.71	$61.71	$130.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $581.00 / $867.40	Professional		$143.13	$581.00	$867.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.78 / $104.43 / $185.00	Professional	26	$86.78	$104.43	$185.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.89 / $283.52 / $719.00	Professional		$164.89	$283.52	$719.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.24 / $118.00 / $207.52	Professional	26	$86.24	$118.00	$207.52
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $130.22 / $151.00 / $272.27	Facility	26	$130.22	$151.00	$272.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $574.29 / $574.29 / $574.29	Professional		$574.29	$574.29	$574.29
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $343.97 / $343.97 / $343.97	Professional	26	$343.97	$343.97	$343.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $106.49 / $169.60	Professional		$60.81	$106.49	$169.60
United Facility/Professional Professional Modifier Low / Median / High Price $162.12 / $228.16 / $597.50	Professional		$162.12	$228.16	$597.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.09 / $116.21 / $197.99	Professional	26	$80.09	$116.21	$197.99