Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Facility	26	$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $154.88	Professional		$67.61	$83.18	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $120.23	Professional		$67.61	$85.11	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $173.78	Professional		$57.54	$95.50	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	26	$45.71	$45.71	$45.71
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 $70.79 / $93.33 / $177.83	Professional		$70.79	$93.33	$177.83