Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.03 / $38.03 / $38.03	Facility	26	$38.03	$38.03	$38.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $84.46 / $168.10	Professional		$75.25	$84.46	$168.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.72 / $36.94 / $57.00	Professional	26	$32.72	$36.94	$57.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $175.56 / $175.56 / $175.56	Professional	50	$175.56	$175.56	$175.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.03 / $82.03 / $112.15	Professional		$82.03	$82.03	$112.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.65 / $36.65 / $36.65	Professional	26	$36.65	$36.65	$36.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $79.00 / $140.44	Professional		$73.95	$79.00	$140.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.10 / $50.00 / $72.38	Professional	26	$34.10	$50.00	$72.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $97.86 / $154.66	Professional		$79.90	$97.86	$154.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $47.36 / $73.61	Professional	26	$39.29	$47.36	$73.61
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $57.15 / $96.52	Facility	26	$42.66	$57.15	$96.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $54.68 / $137.35	Professional		$30.05	$54.68	$137.35
United Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $86.62 / $154.66	Professional		$69.61	$86.62	$154.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.52 / $40.18 / $75.00	Professional	26	$32.52	$40.18	$75.00