Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $251.19	Professional		$58.88	$87.10	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $120.23 / $131.83	Professional		$53.70	$120.23	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $194.98	Professional		$69.18	$123.03	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $151.36	Professional		$67.61	$97.72	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $141.25	Professional		$58.88	$77.62	$141.25