Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.43 / $64.43 / $64.43	Facility	26	$64.43	$64.43	$64.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $155.55 / $254.65	Professional		$143.85	$155.55	$254.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.43 / $67.59 / $101.65	Professional	26	$64.43	$67.59	$101.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.90 / $77.90 / $77.90	Professional	26	$77.90	$77.90	$77.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $198.61 / $329.06	Professional		$158.88	$198.61	$329.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.25 / $91.00 / $139.44	Professional	26	$71.25	$91.00	$139.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $197.28 / $340.70	Professional		$158.16	$197.28	$340.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.03 / $96.26 / $153.62	Professional	26	$71.03	$96.26	$153.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $111.69 / $129.00 / $186.78	Facility	26	$111.69	$129.00	$186.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $88.83 / $625.55	Professional		$88.83	$88.83	$625.55
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $277.07 / $277.07 / $277.07	Professional	26	$277.07	$277.07	$277.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.39 / $133.42 / $249.63	Professional		$87.39	$133.42	$249.63
United Facility/Professional Professional Modifier Low / Median / High Price $145.82 / $190.20 / $328.80	Professional		$145.82	$190.20	$328.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.70 / $83.91 / $151.30	Professional	26	$65.70	$83.91	$151.30