Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.22 / $125.07 / $143.18	Facility	26	$68.22	$125.07	$143.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $210.71 / $896.55	Professional		$143.65	$210.71	$896.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.22 / $93.29 / $162.24	Professional	26	$68.22	$93.29	$162.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $128.68 / $128.68	Professional		$128.68	$128.68	$128.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.75 / $71.75 / $71.75	Professional	26	$71.75	$71.75	$71.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $127.43 / $281.92	Professional		$74.72	$127.43	$281.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $239.05 / $319.95	Professional		$151.31	$239.05	$319.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.73 / $118.17 / $163.62	Professional	26	$79.73	$118.17	$163.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $127.29 / $295.11	Professional		$32.34	$127.29	$295.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $292.31 / $416.76	Professional		$155.75	$292.31	$416.76
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $79.73 / $125.30 / $163.62	Professional	26	$79.73	$125.30	$163.62
United Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $207.38 / $365.73	Professional		$180.81	$207.38	$365.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.77 / $96.72 / $195.64	Professional	26	$93.77	$96.72	$195.64