Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.44 / $50.44 / $50.44	Facility	26	$50.44	$50.44	$50.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $128.03 / $215.37	Professional		$112.50	$128.03	$215.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $134.09 / $134.09	Professional		$134.09	$134.09	$134.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $155.96 / $232.77	Professional		$141.00	$155.96	$232.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.66 / $161.71 / $283.11	Professional		$109.66	$161.71	$283.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $77.52 / $93.00 / $148.10	Facility	26	$77.52	$93.00	$148.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $525.50 / $525.50 / $525.50	Professional		$525.50	$525.50	$525.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $113.95 / $208.91	Professional		$64.56	$113.95	$208.91
United Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $160.38 / $234.56	Professional		$109.22	$160.38	$234.56