Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $331.13	Professional		$128.82	$177.83	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $93.33 / $295.12	Professional	26	$52.48	$93.33	$295.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $89.13 / $95.50	Professional	26	$89.13	$89.13	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $354.81 / $794.33	Professional		$165.96	$354.81	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $95.50 / $131.83	Professional	26	$81.28	$95.50	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $660.69	Professional		$147.91	$263.03	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $83.18 / $138.04	Professional	26	$57.54	$83.18	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
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 $158.49 / $239.88 / $575.44	Professional		$158.49	$239.88	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $93.33 / $162.18	Professional	26	$53.70	$93.33	$162.18