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 $60.32 / $77.23 / $170.49	Professional		$60.32	$77.23	$170.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $19.95 / $32.67	Professional	26	$17.98	$19.95	$32.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $70.93 / $70.93	Professional		$70.93	$70.93	$70.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $19.18 / $19.18	Professional	26	$19.18	$19.18	$19.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $169.34 / $361.61	Professional		$65.98	$169.34	$361.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.84 / $156.08 / $333.30	Professional	26	$17.84	$156.08	$333.30
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 $32.92 / $79.78 / $144.69	Professional		$32.92	$79.78	$144.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.63 / $23.67 / $37.65	Professional	26	$19.63	$23.67	$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 $54.82 / $73.36 / $112.91	Professional		$54.82	$73.36	$112.91
United Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $69.23 / $126.85	Professional		$41.45	$69.23	$126.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.17 / $19.64 / $34.78	Professional	26	$16.17	$19.64	$34.78