Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.92 / $140.12 / $157.32	Facility	26	$117.92	$140.12	$157.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $221.18 / $428.40	Professional		$144.83	$221.18	$428.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.19 / $114.59 / $211.88	Professional	26	$78.19	$114.59	$211.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $283.69 / $313.20	Professional		$133.31	$283.69	$313.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.95 / $142.61 / $165.70	Professional	26	$65.95	$142.61	$165.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.81 / $234.01 / $260.01	Professional		$176.81	$234.01	$260.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.19 / $131.28 / $145.87	Professional	26	$99.19	$131.28	$145.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $104.83 / $203.09	Professional		$78.61	$104.83	$203.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $246.49 / $347.70	Professional		$142.77	$246.49	$347.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.17 / $129.88 / $177.21	Professional	26	$77.17	$129.88	$177.21
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $310.01 / $326.24 / $360.18	Professional		$310.01	$326.24	$360.18
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $75.84 / $164.00 / $190.56	Professional	26	$75.84	$164.00	$190.56
United Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $225.48 / $332.90	Professional		$162.72	$225.48	$332.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.05 / $106.39 / $173.75	Professional	26	$87.05	$106.39	$173.75