Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.17 / $29.17 / $29.17	Facility	26	$29.17	$29.17	$29.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $129.66 / $478.97	Professional		$95.51	$129.66	$478.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $184.19 / $200.66	Professional		$94.02	$184.19	$200.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $134.84 / $243.00	Professional		$102.90	$134.84	$243.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.74 / $134.09 / $241.34	Professional		$101.74	$134.09	$241.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $50.25 / $62.00 / $84.89	Facility	26	$50.25	$62.00	$84.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $134.77 / $420.73	Professional		$134.77	$134.77	$420.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $98.86 / $180.58	Professional		$44.14	$98.86	$180.58
United Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $126.57 / $216.12	Professional		$99.43	$126.57	$216.12