Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.72 / $76.72 / $76.72	Facility	26	$76.72	$76.72	$76.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.87 / $220.07 / $1,203.00	Professional		$145.87	$220.07	$1,203.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.72 / $96.38 / $406.34	Professional	26	$76.72	$96.38	$406.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.86 / $290.41 / $316.37	Professional		$172.86	$290.41	$316.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $90.38 / $92.48 / $160.52	Professional	26	$90.38	$92.48	$160.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $174.12 / $325.00	Professional		$73.84	$174.12	$325.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.79 / $96.68 / $182.00	Professional	26	$76.79	$96.68	$182.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.58 / $244.29 / $381.50	Professional		$180.58	$244.29	$381.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.26 / $120.55 / $190.33	Professional	26	$86.26	$120.55	$190.33
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $133.88 / $163.00 / $250.00	Facility	26	$133.88	$163.00	$250.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $134.22 / $629.24	Professional		$134.22	$134.22	$629.24
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $334.36 / $334.36 / $334.36	Professional	26	$334.36	$334.36	$334.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.39 / $130.29 / $211.73	Professional		$87.39	$130.29	$211.73
United Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $202.37 / $351.72	Professional		$153.69	$202.37	$351.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.84 / $103.23 / $174.10	Professional	26	$77.84	$103.23	$174.10