Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.81 / $69.81 / $69.81	Facility	26	$69.81	$69.81	$69.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $154.21 / $211.12	Professional		$143.65	$154.21	$211.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.42 / $69.81 / $178.05	Professional	26	$62.42	$69.81	$178.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $293.51 / $293.51	Professional		$293.51	$293.51	$293.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.52 / $67.52 / $126.30	Professional	26	$67.52	$67.52	$126.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.28 / $164.00 / $288.36	Professional		$141.28	$164.00	$288.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.81 / $97.00 / $148.63	Professional	26	$62.81	$97.00	$148.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $186.21 / $337.24	Professional		$150.63	$186.21	$337.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.98 / $90.04 / $149.62	Professional	26	$69.98	$90.04	$149.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $73.05 / $100.00 / $121.37	Facility	26	$73.05	$100.00	$121.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $181.00 / $389.38	Professional		$136.72	$181.00	$389.38
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $112.48 / $186.57	Professional		$66.97	$112.48	$186.57
United Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $155.72 / $242.25	Professional		$128.30	$155.72	$242.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.46 / $69.09 / $109.89	Professional	26	$57.46	$69.09	$109.89