Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.31 / $28.31 / $28.31	Facility	26	$28.31	$28.31	$28.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $96.53 / $517.00	Professional		$72.97	$96.53	$517.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $107.39 / $157.83	Professional		$62.59	$107.39	$157.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $116.00 / $193.59	Professional		$79.55	$116.00	$193.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $115.25 / $192.34	Professional		$90.37	$115.25	$192.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $49.20 / $55.74 / $94.84	Facility	26	$49.20	$55.74	$94.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $319.17 / $319.17 / $319.17	Professional		$319.17	$319.17	$319.17
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 $79.61 / $101.23 / $170.62	Professional		$79.61	$101.23	$170.62