Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $168.82 / $168.82 / $168.82	Facility	26	$168.82	$168.82	$168.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.15 / $546.25 / $834.19	Professional		$490.15	$546.25	$834.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.33 / $174.37 / $316.81	Professional	26	$168.33	$174.37	$316.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $203.04 / $274.26 / $338.08	Professional	26	$203.04	$274.26	$338.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.33 / $779.00 / $1,142.04	Professional		$552.33	$779.00	$1,142.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $188.87 / $227.29 / $333.97	Professional	26	$188.87	$227.29	$333.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.97 / $780.91 / $1,169.20	Professional		$608.97	$780.91	$1,169.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $206.76 / $268.89 / $397.20	Professional	26	$206.76	$268.89	$397.20
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $273.86 / $339.59 / $590.29	Facility	26	$273.86	$339.59	$590.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $578.78 / $578.78 / $578.78	Professional		$578.78	$578.78	$578.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.29 / $421.72 / $741.94	Professional		$191.29	$421.72	$741.94
United Facility/Professional Professional Modifier Low / Median / High Price $560.89 / $895.98 / $1,174.11	Professional		$560.89	$895.98	$1,174.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $183.92 / $252.41 / $410.76	Professional	26	$183.92	$252.41	$410.76