Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.71 / $57.71 / $72.70	Facility	26	$57.71	$57.71	$72.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.11 / $342.93 / $673.04	Professional		$309.11	$342.93	$673.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.82 / $57.71 / $134.54	Professional	26	$50.82	$57.71	$134.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $555.83 / $558.94	Professional		$288.77	$555.83	$558.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.30 / $72.72 / $92.97	Professional	26	$48.30	$72.72	$92.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $247.24 / $404.65	Professional		$139.00	$247.24	$404.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.94 / $76.00 / $123.66	Professional	26	$51.94	$76.00	$123.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $378.93 / $645.12	Professional		$204.96	$378.93	$645.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.85 / $71.83 / $108.94	Professional	26	$56.85	$71.83	$108.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $56.27 / $72.00 / $122.97	Facility	26	$56.27	$72.00	$122.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.74 / $296.53 / $485.23	Professional		$65.74	$296.53	$485.23
United Facility/Professional Professional Modifier Low / Median / High Price $224.58 / $335.27 / $538.86	Professional		$224.58	$335.27	$538.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.35 / $60.97 / $107.44	Professional	26	$51.35	$60.97	$107.44