Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.21 / $33.21 / $59.38	Facility	26	$33.21	$33.21	$59.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.87 / $258.27 / $364.11	Professional		$234.87	$258.27	$364.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.13 / $206.13 / $206.13	Professional		$206.13	$206.13	$206.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.68 / $305.00 / $451.11	Professional		$249.68	$305.00	$451.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.05 / $362.08 / $605.49	Professional		$268.05	$362.08	$605.49
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $60.83 / $73.00 / $127.83	Facility	26	$60.83	$73.00	$127.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $399.25 / $399.25 / $399.25	Professional		$399.25	$399.25	$399.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $239.07 / $320.79	Professional		$41.02	$239.07	$320.79
United Facility/Professional Professional Modifier Low / Median / High Price $264.05 / $340.33 / $527.21	Professional		$264.05	$340.33	$527.21