Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $281.84	Professional		$131.83	$165.96	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $72.44 / $134.90	Professional	26	$58.88	$72.44	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	26	$138.04	$138.04	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $295.12	Professional		$169.82	$194.98	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $91.20 / $134.90	Professional	26	$77.62	$91.20	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $338.84	Professional		$151.36	$204.17	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $97.72 / $151.36	Professional	26	$70.79	$97.72	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $309.03	Professional		$144.54	$177.83	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $144.54	Professional	26	$64.57	$79.43	$144.54