Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.66 / $92.27 / $102.80	Facility	26	$78.66	$92.27	$102.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.79 / $367.14 / $473.03	Professional		$193.79	$367.14	$473.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.69 / $92.27 / $98.00	Professional	26	$57.69	$92.27	$98.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $96.84 / $96.84 / $96.84	Professional	26	$96.84	$96.84	$96.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.68 / $339.72 / $377.47	Professional		$256.68	$339.72	$377.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.01 / $86.04 / $95.60	Professional	26	$65.01	$86.04	$95.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.53 / $412.64 / $629.36	Professional		$243.53	$412.64	$629.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.95 / $87.65 / $131.06	Professional	26	$57.95	$87.65	$131.06
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $111.37 / $111.37 / $111.37	Professional	26	$111.37	$111.37	$111.37
United Facility/Professional Professional Modifier Low / Median / High Price $212.37 / $368.37 / $500.19	Professional		$212.37	$368.37	$500.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.82 / $73.58 / $119.03	Professional	26	$57.82	$73.58	$119.03