Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $131.83 / $138.04	Facility	26	$93.33	$131.83	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $512.86	Professional		$208.93	$309.03	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $204.17	Professional	26	$54.95	$89.13	$204.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $138.04 / $154.88	Professional	26	$64.57	$138.04	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $457.09	Professional		$316.23	$363.08	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $104.71 / $134.90	Professional	26	$91.20	$104.71	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $758.58	Professional		$288.40	$501.19	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $123.03 / $194.98	Professional	26	$81.28	$123.03	$194.98
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $162.18 / $181.97	Professional	26	$154.88	$162.18	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $645.65	Professional		$288.40	$436.52	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $95.50 / $165.96	Professional	26	$79.43	$95.50	$165.96