Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.70 / $84.71 / $84.71	Facility	26	$84.70	$84.71	$84.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.17 / $324.49 / $522.50	Professional		$287.17	$324.49	$522.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.30 / $330.30 / $330.30	Professional		$330.30	$330.30	$330.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.26 / $460.00 / $871.11	Professional		$307.26	$460.00	$871.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.29 / $480.93 / $868.46	Professional		$387.29	$480.93	$868.46
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $135.63 / $192.75 / $308.07	Facility	26	$135.63	$192.75	$308.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,272.69 / $1,272.69 / $1,272.69	Professional		$1,272.69	$1,272.69	$1,272.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $243.45 / $407.48	Professional		$96.53	$243.45	$407.48
United Facility/Professional Professional Modifier Low / Median / High Price $371.32 / $620.75 / $1,162.10	Professional		$371.32	$620.75	$1,162.10