Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.89 / $124.67 / $149.38	Facility	26	$109.89	$124.67	$149.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $225.80 / $456.49	Professional		$134.94	$225.80	$456.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $96.17 / $140.58	Professional	26	$77.76	$96.17	$140.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $266.64 / $266.64	Professional		$266.64	$266.64	$266.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $144.96 / $144.96 / $144.96	Professional	26	$144.96	$144.96	$144.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.01 / $227.66 / $252.95	Professional		$172.01	$227.66	$252.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.91 / $125.61 / $139.57	Professional	26	$94.91	$125.61	$139.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $282.33 / $896.26	Professional		$145.66	$282.33	$896.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.30 / $123.28 / $178.96	Professional	26	$87.30	$123.28	$178.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $306.64 / $306.64 / $306.64	Professional		$306.64	$306.64	$306.64
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $131.72 / $131.72 / $166.70	Professional	26	$131.72	$131.72	$166.70
United Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $279.39 / $674.63	Professional		$164.02	$279.39	$674.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.97 / $109.97 / $179.95	Professional	26	$86.97	$109.97	$179.95