Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.15 / $67.16 / $96.62	Facility	26	$67.15	$67.16	$96.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $122.42 / $268.94	Professional		$103.66	$122.42	$268.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.11 / $67.15 / $150.94	Professional	26	$59.11	$67.15	$150.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $161.40 / $181.48	Professional		$93.76	$161.40	$181.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.20 / $64.92 / $108.10	Professional	26	$61.20	$64.92	$108.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $105.86 / $206.53	Professional		$90.00	$105.86	$206.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.39 / $74.55 / $126.29	Professional	26	$60.39	$74.55	$126.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $133.61 / $213.70	Professional		$92.55	$133.61	$213.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.65 / $84.11 / $130.34	Professional	26	$68.65	$84.11	$130.34
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $75.31 / $116.46 / $171.59	Facility	26	$75.31	$116.46	$171.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $75.30 / $130.74	Professional		$31.88	$75.30	$130.74
United Facility/Professional Professional Modifier Low / Median / High Price $109.40 / $124.69 / $210.48	Professional		$109.40	$124.69	$210.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.37 / $72.00 / $124.84	Professional	26	$62.37	$72.00	$124.84