Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $85.11 / $147.91	Facility	26	$69.18	$85.11	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $275.42	Professional		$114.82	$177.83	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $346.74	Professional	26	$52.48	$85.11	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $134.90 / $169.82	Professional	26	$70.79	$134.90	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $218.78	Professional		$147.91	$169.82	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $69.18 / $89.13	Professional	26	$60.26	$69.18	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $794.33	Professional		$147.91	$275.42	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $89.13 / $173.78	Professional	26	$58.88	$89.13	$173.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $169.82	Professional	26	$154.88	$154.88	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $707.95	Professional		$162.18	$229.09	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $97.72 / $177.83	Professional	26	$57.54	$97.72	$177.83