Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.43 / $23.43 / $23.43	Facility	26	$23.43	$23.43	$23.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $70.40 / $271.47	Professional		$57.39	$70.40	$271.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $111.66 / $121.64	Professional		$111.66	$111.66	$121.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.38 / $136.00 / $239.13	Professional		$62.38	$136.00	$239.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $93.86 / $151.00	Professional		$68.80	$93.86	$151.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $40.67 / $50.00 / $72.87	Facility	26	$40.67	$50.00	$72.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $254.25 / $254.25 / $254.25	Professional		$254.25	$254.25	$254.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $51.99 / $90.40	Professional		$29.53	$51.99	$90.40
United Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $81.27 / $134.47	Professional		$60.82	$81.27	$134.47