Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $27.54 / $40.74	Facility	26	$21.88	$27.54	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $354.81	Professional		$51.29	$81.28	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $23.99 / $56.23	Professional	26	$15.85	$23.99	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $22.39 / $40.74	Professional	26	$18.62	$22.39	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $107.15	Professional		$74.13	$85.11	$107.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $32.36 / $41.69	Professional	26	$28.18	$32.36	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $56.23 / $112.20	Professional		$23.99	$56.23	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $190.55	Professional		$70.79	$134.90	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $47.86	Professional	26	$19.05	$26.92	$47.86
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $30.20 / $53.70	Professional	26	$21.38	$30.20	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $199.53	Professional		$69.18	$112.20	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.30 / $46.77	Professional	26	$18.20	$26.30	$46.77