Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $234.42	Professional		$97.72	$125.89	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $758.58	Professional		$117.49	$245.47	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $691.83	Professional		$114.82	$213.80	$691.83
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 $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 $123.03 / $208.93 / $562.34	Professional		$123.03	$208.93	$562.34