Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $100.00 / $177.83	Facility	26	$97.72	$100.00	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $676.08	Professional		$257.04	$309.03	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $100.00 / $190.55	Professional	26	$60.26	$100.00	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $134.90	Professional	26	$63.10	$79.43	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $741.31	Professional		$251.19	$478.63	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $131.83 / $177.83	Professional	26	$64.57	$131.83	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $758.58	Professional		$275.42	$363.08	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $100.00 / $173.78	Professional	26	$74.13	$100.00	$173.78