Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.98 / $66.98 / $66.98	Facility	26	$66.98	$66.98	$66.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $246.69 / $896.64	Professional		$196.11	$246.69	$896.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $358.48 / $413.49 / $450.45	Professional		$358.48	$413.49	$450.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $231.00 / $324.51	Professional		$151.00	$231.00	$324.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.27 / $280.93 / $500.80	Professional		$174.27	$280.93	$500.80
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $117.05 / $142.00 / $194.89	Facility	26	$117.05	$142.00	$194.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.27 / $302.27 / $950.07	Professional		$302.27	$302.27	$950.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $185.03 / $338.64	Professional		$97.00	$185.03	$338.64
United Facility/Professional Professional Modifier Low / Median / High Price $182.63 / $261.39 / $456.58	Professional		$182.63	$261.39	$456.58