Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.49 / $319.52 / $332.76	Facility	26	$164.49	$319.52	$332.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.37 / $841.37 / $931.33	Professional		$460.37	$841.37	$931.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $164.49 / $300.62 / $332.76	Professional	26	$164.49	$300.62	$332.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $461.23 / $461.23 / $461.23	Professional	26	$461.23	$461.23	$461.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,089.00 / $1,089.00 / $1,089.00	Professional		$1,089.00	$1,089.00	$1,089.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.73 / $808.40 / $1,059.92	Professional		$496.73	$808.40	$1,059.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.60 / $286.02 / $375.03	Professional	26	$169.60	$286.02	$375.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $489.95 / $655.30 / $1,353.35	Professional		$489.95	$655.30	$1,353.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $164.57 / $233.11 / $441.43	Professional	26	$164.57	$233.11	$441.43