Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.82 / $53.82 / $53.82	Facility	26	$53.82	$53.82	$53.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $90.97 / $158.97	Professional		$83.63	$90.97	$158.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $86.99 / $127.09	Professional		$86.99	$86.99	$127.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $84.97 / $152.63	Professional		$73.00	$84.97	$152.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $111.47 / $171.73	Professional		$87.31	$111.47	$171.73
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $60.36 / $80.84 / $137.44	Facility	26	$60.36	$80.84	$137.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $75.30 / $129.73	Professional		$31.88	$75.30	$129.73
United Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $103.73 / $167.36	Professional		$88.28	$103.73	$167.36