Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.56 / $77.28 / $148.60	Facility	26	$69.56	$77.28	$148.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.71 / $209.52 / $419.56	Professional		$145.71	$209.52	$419.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $69.56 / $143.16	Professional	26	$49.34	$69.56	$143.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $261.61 / $261.61 / $261.61	Professional		$261.61	$261.61	$261.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $134.00 / $171.66 / $171.66	Professional	26	$134.00	$171.66	$171.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $196.79 / $218.66	Professional		$148.69	$196.79	$218.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.95 / $79.34 / $88.16	Professional	26	$59.95	$79.34	$88.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $263.58 / $819.89	Professional		$156.16	$263.58	$819.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.10 / $83.28 / $158.54	Professional	26	$59.10	$83.28	$158.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $300.85 / $300.85 / $300.85	Professional		$300.85	$300.85	$300.85
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $154.10 / $197.41 / $197.41	Professional	26	$154.10	$197.41	$197.41
United Facility/Professional Professional Modifier Low / Median / High Price $170.05 / $270.58 / $632.08	Professional		$170.05	$270.58	$632.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.53 / $100.33 / $180.60	Professional	26	$56.53	$100.33	$180.60