Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.35 / $25.02 / $39.04	Facility	26	$22.35	$25.02	$39.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $188.28 / $521.16	Professional		$62.00	$188.28	$521.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $22.35 / $90.91	Professional	26	$16.71	$22.35	$90.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.55 / $28.04 / $38.82	Professional	26	$22.55	$28.04	$38.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $97.35 / $108.17	Professional		$73.56	$97.35	$108.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.19 / $37.31 / $41.46	Professional	26	$28.19	$37.31	$41.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $52.53 / $88.34	Professional		$24.01	$52.53	$88.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $135.00 / $180.56	Professional		$81.70	$135.00	$180.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.20 / $27.06 / $47.47	Professional	26	$19.20	$27.06	$47.47
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $30.36 / $32.25 / $46.45	Professional	26	$30.36	$32.25	$46.45
United Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $113.01 / $194.60	Professional		$69.16	$113.01	$194.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.00 / $27.60 / $46.77	Professional	26	$18.00	$27.60	$46.77