Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $53.70 / $79.43	Facility	26	$42.66	$53.70	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $177.83	Professional		$79.43	$109.65	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $43.65 / $89.13	Professional	26	$30.90	$43.65	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $39.81 / $83.18	Professional	26	$36.31	$39.81	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $165.96	Professional		$114.82	$131.83	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $43.65 / $56.23	Professional	26	$38.02	$43.65	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $208.93	Professional		$79.43	$141.25	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $50.12 / $83.18	Professional	26	$36.31	$50.12	$83.18
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $91.20 / $102.33	Professional	26	$41.69	$91.20	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $194.98	Professional		$85.11	$112.20	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $38.02 / $75.86	Professional	26	$31.62	$38.02	$75.86