Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.95 / $123.00 / $157.51	Facility	26	$109.95	$123.00	$157.51
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.91 / $47.91 / $189.18	Facility	53	$47.91	$47.91	$189.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $330.43 / $502.43	Professional		$234.61	$330.43	$502.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.42 / $116.15 / $558.00	Professional	26	$98.42	$116.15	$558.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $105.78 / $176.14 / $176.14	Professional	26	$105.78	$176.14	$176.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $305.00 / $536.28	Professional		$212.00	$305.00	$536.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.40 / $134.56 / $264.60	Professional	26	$98.40	$134.56	$264.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.62 / $343.23 / $558.13	Professional		$258.62	$343.23	$558.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.97 / $144.69 / $245.80	Professional	26	$113.97	$144.69	$245.80
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $118.70 / $193.00 / $234.96	Facility	26	$118.70	$193.00	$234.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $863.36 / $863.36 / $863.36	Professional		$863.36	$863.36	$863.36
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $390.93 / $390.93 / $390.93	Professional	26	$390.93	$390.93	$390.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $159.47 / $296.28	Professional		$97.00	$159.47	$296.28
United Facility/Professional Professional Modifier Low / Median / High Price $224.38 / $307.86 / $563.14	Professional		$224.38	$307.86	$563.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.55 / $126.02 / $229.41	Professional	26	$96.55	$126.02	$229.41