Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $43.65 / $44.67	Facility	26	$43.65	$43.65	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $257.04	Professional		$93.33	$128.82	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $794.33	Professional		$112.20	$234.42	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $691.83	Professional		$112.20	$204.17	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
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 $117.49 / $204.17 / $562.34	Professional		$117.49	$204.17	$562.34