Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.49 / $55.49 / $96.81	Facility	26	$55.49	$55.49	$96.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $305.37 / $400.14	Professional		$280.08	$305.37	$400.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.49 / $59.00 / $98.19	Professional	26	$55.49	$59.00	$98.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.41 / $48.41 / $108.31	Professional	26	$48.41	$48.41	$108.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $309.10 / $484.78	Professional		$280.00	$309.10	$484.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.51 / $83.00 / $117.57	Professional	26	$60.51	$83.00	$117.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.43 / $416.34 / $707.11	Professional		$288.43	$416.34	$707.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.62 / $90.79 / $140.79	Professional	26	$64.62	$90.79	$140.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $117.00 / $118.00 / $209.73	Facility	26	$117.00	$118.00	$209.73
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 / $270.01 / $362.92	Professional		$41.02	$270.01	$362.92
United Facility/Professional Professional Modifier Low / Median / High Price $301.11 / $383.85 / $623.14	Professional		$301.11	$383.85	$623.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.69 / $80.95 / $131.37	Professional	26	$62.69	$80.95	$131.37