Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.57 / $41.57 / $118.99	Facility	26	$41.57	$41.57	$118.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $113.48 / $179.00	Professional		$88.20	$113.48	$179.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.51 / $43.11 / $92.74	Professional	26	$30.51	$43.11	$92.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $48.65 / $81.02	Professional	26	$48.65	$48.65	$81.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $106.28 / $181.16	Professional		$91.00	$106.28	$181.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.26 / $54.32 / $89.67	Professional	26	$45.26	$54.32	$89.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $127.11 / $242.84	Professional		$84.08	$127.11	$242.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.53 / $48.66 / $84.48	Professional	26	$35.53	$48.66	$84.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $54.00 / $59.00 / $105.81	Facility	26	$54.00	$59.00	$105.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.25 / $398.25 / $398.25	Professional		$398.25	$398.25	$398.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $80.55 / $129.73	Professional		$44.14	$80.55	$129.73
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $124.03 / $209.81	Professional		$98.74	$124.03	$209.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $42.28 / $74.81	Professional	26	$31.83	$42.28	$74.81