Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.84 / $71.84 / $71.84	Facility	26	$71.84	$71.84	$71.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $196.05 / $645.36	Professional		$133.50	$196.05	$645.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.56 / $308.36 / $310.08	Professional		$232.56	$308.36	$310.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $176.57 / $282.79	Professional		$73.84	$176.57	$282.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $223.14 / $406.73	Professional		$153.22	$223.14	$406.73
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $124.82 / $153.00 / $212.57	Facility	26	$124.82	$153.00	$212.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $698.17 / $698.17 / $698.17	Professional		$698.17	$698.17	$698.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.39 / $133.42 / $249.63	Professional		$87.39	$133.42	$249.63
United Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $204.57 / $359.42	Professional		$161.97	$204.57	$359.42