Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.44 / $43.44 / $43.44	Facility	26	$43.44	$43.44	$43.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $75.79 / $110.75	Professional		$52.92	$75.79	$110.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $43.31 / $63.14	Professional	26	$34.65	$43.31	$63.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.12 / $102.12 / $124.22	Professional		$102.12	$102.12	$124.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.16 / $42.16 / $54.81	Professional	26	$42.16	$42.16	$54.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.01 / $72.45 / $95.23	Professional		$69.01	$72.45	$95.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.33 / $40.25 / $54.75	Professional	26	$38.33	$40.25	$54.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $86.96 / $177.55	Professional		$71.26	$86.96	$177.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.73 / $57.33 / $97.85	Professional	26	$45.73	$57.33	$97.85
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $50.43 / $52.26 / $79.70	Facility	26	$50.43	$52.26	$79.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $342.29 / $342.29 / $342.29	Professional		$342.29	$342.29	$342.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $53.47 / $99.31	Professional		$30.56	$53.47	$99.31
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $71.41 / $110.75	Professional		$56.42	$71.41	$110.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.39 / $43.82 / $73.58	Professional	26	$36.39	$43.82	$73.58