Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $218.78	Professional		$107.15	$131.83	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $125.89	Professional		$97.72	$102.33	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $213.80	Professional		$125.89	$144.54	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $269.15	Professional		$107.15	$154.88	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
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 $117.49 / $144.54 / $251.19	Professional		$117.49	$144.54	$251.19