Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $50.85 / $50.85	Facility		$31.97	$50.85	$50.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.93 / $47.97 / $47.97	Facility	26	$29.93	$47.97	$47.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $50.85 / $77.50	Professional		$47.73	$50.85	$77.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.93 / $47.97 / $152.15	Professional	26	$29.93	$47.97	$152.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $45.79	Professional		$45.79	$45.79	$45.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.88 / $42.88 / $45.96	Professional	26	$42.88	$42.88	$45.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $58.49 / $101.15	Facility		$32.18	$58.49	$101.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $45.67 / $62.45	Professional		$11.00	$45.67	$62.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.00 / $26.52 / $51.45	Professional	26	$18.00	$26.52	$51.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $9.50 / $19.55	Facility		$6.47	$9.50	$19.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $18.03 / $64.06	Facility		$17.76	$18.03	$64.06
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.76 / $18.03 / $34.10	Facility	26	$17.76	$18.03	$34.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $61.87 / $82.27	Professional		$34.60	$61.87	$82.27
United Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $22.49 / $57.87	Professional		$16.27	$22.49	$57.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $21.51 / $57.84	Professional	26	$16.26	$21.51	$57.84