Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.70 / $31.70 / $44.00	Facility	26	$31.70	$31.70	$44.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $221.05 / $447.12	Professional		$149.37	$221.05	$447.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $33.45 / $61.42	Professional	26	$31.70	$33.45	$61.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.16 / $29.13 / $35.20	Professional	26	$28.16	$29.13	$35.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $203.96 / $318.55	Professional		$116.00	$203.96	$318.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.20 / $39.90 / $66.81	Professional	26	$35.20	$39.90	$66.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.45 / $308.50 / $522.30	Professional		$167.45	$308.50	$522.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $51.48 / $81.87	Professional	26	$37.65	$51.48	$81.87
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $58.70 / $69.00 / $122.49	Facility	26	$58.70	$69.00	$122.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
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 $148.66 / $305.48 / $495.18	Professional		$148.66	$305.48	$495.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.84 / $47.31 / $76.67	Professional	26	$35.84	$47.31	$76.67