Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.95 / $122.17 / $155.83	Facility	26	$70.95	$122.17	$155.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.62 / $189.07 / $338.79	Professional		$144.62	$189.07	$338.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.89 / $75.36 / $155.83	Professional	26	$64.89	$75.36	$155.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $130.82 / $130.82	Professional		$130.82	$130.82	$130.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.88 / $55.88 / $160.63	Professional	26	$55.88	$55.88	$160.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $258.00 / $258.00	Professional		$258.00	$258.00	$258.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.52 / $220.09 / $329.04	Professional		$125.52	$220.09	$329.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.86 / $106.08 / $149.99	Professional	26	$64.86	$106.08	$149.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.53	Professional		$32.34	$32.34	$75.53
United Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $186.04 / $304.30	Professional		$136.44	$186.04	$304.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.89 / $86.68 / $153.58	Professional	26	$61.89	$86.68	$153.58