Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.18 / $37.18 / $37.18	Facility	26	$37.18	$37.18	$37.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $172.04 / $624.54	Professional		$137.84	$172.04	$624.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.55 / $243.55 / $243.55	Professional		$243.55	$243.55	$243.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.06 / $151.79 / $263.75	Professional		$136.06	$151.79	$263.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $171.94 / $347.10	Professional		$127.64	$171.94	$347.10
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $40.46 / $66.00 / $78.67	Facility	26	$40.46	$66.00	$78.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $562.66 / $562.66 / $562.66	Professional		$562.66	$562.66	$562.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $130.87 / $227.07	Professional		$44.14	$130.87	$227.07
United Facility/Professional Professional Modifier Low / Median / High Price $122.26 / $163.12 / $287.27	Professional		$122.26	$163.12	$287.27