Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.82 / $42.82 / $58.25	Facility	26	$42.82	$42.82	$58.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $125.15 / $437.02	Professional		$96.27	$125.15	$437.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $193.19 / $202.00	Professional		$91.74	$193.19	$202.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $137.50 / $219.79	Professional		$107.93	$137.50	$219.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.67 / $141.31 / $244.64	Professional		$109.67	$141.31	$244.64
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $73.55 / $90.00 / $125.09	Facility	26	$73.55	$90.00	$125.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $88.83 / $412.97	Professional		$88.83	$88.83	$412.97
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 $100.44 / $131.43 / $220.42	Professional		$100.44	$131.43	$220.42