Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.33 / $24.33 / $24.33	Facility	26	$24.33	$24.33	$24.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $128.26 / $153.53	Professional		$120.08	$128.26	$153.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.72 / $24.25 / $29.81	Professional	26	$21.72	$24.25	$29.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $20.14 / $22.90	Professional	26	$20.14	$20.14	$22.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.37 / $146.30 / $238.75	Professional		$118.37	$146.30	$238.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.30 / $31.00 / $45.18	Professional	26	$21.30	$31.00	$45.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $172.34 / $289.70	Professional		$149.72	$172.34	$289.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.69 / $28.82 / $46.04	Professional	26	$24.69	$28.82	$46.04
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $27.29 / $36.86 / $62.70	Facility	26	$27.29	$36.86	$62.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $88.83 / $467.65	Professional		$88.83	$88.83	$467.65
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $87.40 / $87.40 / $87.40	Professional	26	$87.40	$87.40	$87.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $120.74 / $188.62	Professional		$45.41	$120.74	$188.62
United Facility/Professional Professional Modifier Low / Median / High Price $131.27 / $162.44 / $264.81	Professional		$131.27	$162.44	$264.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.78 / $26.23 / $42.43	Professional	26	$21.78	$26.23	$42.43