Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.49 / $37.49 / $37.49	Facility	26	$37.49	$37.49	$37.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.32 / $192.06 / $230.51	Professional		$177.32	$192.06	$230.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.12 / $157.12 / $157.12	Professional		$157.12	$157.12	$157.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.57 / $262.00 / $460.67	Professional		$190.57	$262.00	$460.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $269.76 / $450.72	Professional		$213.00	$269.76	$450.72
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $68.90 / $81.00 / $142.65	Facility	26	$68.90	$81.00	$142.65
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 / $176.80 / $237.54	Professional		$41.02	$176.80	$237.54
United Facility/Professional Professional Modifier Low / Median / High Price $203.98 / $275.25 / $397.10	Professional		$203.98	$275.25	$397.10