Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.25 / $66.62 / $66.62	Facility	26	$44.25	$66.62	$66.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $113.48 / $149.66	Professional		$87.75	$113.48	$149.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.51 / $44.25 / $69.95	Professional	26	$30.51	$44.25	$69.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.57 / $40.57 / $41.37	Professional	26	$40.57	$40.57	$41.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.35 / $195.00 / $230.10	Professional		$142.35	$195.00	$230.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.69 / $53.00 / $62.54	Professional	26	$38.69	$53.00	$62.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.56 / $39.56 / $39.90	Facility	26	$39.56	$39.56	$39.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $120.78 / $261.89	Professional		$84.08	$120.78	$261.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.20 / $45.22 / $114.91	Professional	26	$33.20	$45.22	$114.91
United Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $103.66 / $139.60	Professional		$76.80	$103.66	$139.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.53 / $33.85 / $48.82	Professional	26	$26.53	$33.85	$48.82