Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.05 / $25.06 / $41.48	Facility	26	$25.05	$25.06	$41.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $171.31 / $241.13	Professional		$159.55	$171.31	$241.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.06 / $26.69 / $60.49	Professional	26	$25.06	$26.69	$60.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.34 / $27.34 / $48.94	Professional	26	$27.34	$27.34	$48.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $188.36 / $272.14	Professional		$153.00	$188.36	$272.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.34 / $61.50 / $85.00	Professional	26	$27.34	$61.50	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $209.68 / $340.38	Professional		$142.12	$209.68	$340.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.61 / $40.36 / $62.29	Professional	26	$28.61	$40.36	$62.29
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $53.00 / $92.16	Facility	26	$44.67	$53.00	$92.16
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 / $176.80 / $237.54	Professional		$41.02	$176.80	$237.54
United Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $236.31 / $380.06	Professional		$144.22	$236.31	$380.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.59 / $35.93 / $63.44	Professional	26	$28.59	$35.93	$63.44