Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $72.64 / $81.64	Professional		$62.01	$72.64	$81.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.11 / $19.19 / $26.75	Professional	26	$17.11	$19.19	$26.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $56.97 / $67.39	Professional		$56.97	$56.97	$67.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $64.31 / $85.99	Professional		$61.26	$64.31	$85.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.84 / $18.73 / $24.62	Professional	26	$17.84	$18.73	$24.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.80 / $21.80 / $21.80	Facility	26	$21.80	$21.80	$21.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $78.16 / $135.86	Professional		$32.47	$78.16	$135.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.63 / $23.64 / $37.65	Professional	26	$19.63	$23.64	$37.65
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $18.32 / $22.37 / $42.11	Facility	26	$18.32	$22.37	$42.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $55.69 / $99.29	Professional		$29.95	$55.69	$99.29
United Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $72.01 / $130.34	Professional		$43.85	$72.01	$130.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.46 / $19.95 / $36.72	Professional	26	$16.46	$19.95	$36.72