Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.71 / $51.71 / $51.71	Facility	26	$51.71	$51.71	$51.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $111.07 / $192.41	Professional		$90.20	$111.07	$192.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $107.82 / $107.82	Professional		$107.82	$107.82	$107.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $113.49 / $158.11	Professional		$97.00	$113.49	$158.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $119.75 / $210.08	Professional		$85.42	$119.75	$210.08
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.38 / $65.00 / $109.81	Facility	26	$51.38	$65.00	$109.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $86.86 / $137.79	Professional		$45.41	$86.86	$137.79
United Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $122.70 / $210.08	Professional		$85.89	$122.70	$210.08