Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	26	$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $323.59	Professional		$141.25	$169.82	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $81.28 / $269.15	Professional	26	$63.10	$81.28	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $302.00	Professional		$120.23	$158.49	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $72.44 / $123.03	Professional	26	$72.44	$72.44	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $218.78	Professional		$154.88	$173.78	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $87.10 / $128.82	Professional	26	$69.18	$87.10	$128.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $75.86 / $109.65	Facility	26	$16.22	$75.86	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $407.38	Professional		$151.36	$199.53	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $93.33 / $181.97	Professional	26	$69.18	$93.33	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Professional		$199.53	$199.53	$204.17
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $245.47	Professional		$128.82	$154.88	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $112.20	Professional	26	$57.54	$70.79	$112.20