Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.99 / $47.99 / $47.99	Facility	26	$47.99	$47.99	$47.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $139.16 / $730.00	Professional		$97.21	$139.16	$730.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $185.46 / $202.04	Professional		$103.61	$185.46	$202.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $141.69 / $233.63	Professional		$103.61	$141.69	$233.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $146.16 / $244.62	Professional		$116.69	$146.16	$244.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $82.13 / $88.55 / $158.38	Facility	26	$82.13	$88.55	$158.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $427.32 / $427.32 / $427.32	Professional		$427.32	$427.32	$427.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $83.61 / $137.35	Professional		$44.14	$83.61	$137.35
United Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $133.07 / $221.39	Professional		$104.06	$133.07	$221.39