Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.59 / $67.56 / $403.25	Facility	26	$64.59	$67.56	$403.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $158.88 / $270.44	Professional		$143.85	$158.88	$270.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.68 / $70.76 / $117.51	Professional	26	$62.68	$70.76	$117.51
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 / $55.88	Professional	26	$55.88	$55.88	$55.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $224.58 / $336.53	Professional		$128.00	$224.58	$336.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.73 / $104.54 / $159.22	Professional	26	$63.73	$104.54	$159.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.87 / $86.87 / $86.87	Facility	26	$86.87	$86.87	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $201.58 / $335.94	Professional		$145.44	$201.58	$335.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.86 / $95.55 / $159.43	Professional	26	$64.86	$95.55	$159.43
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $179.26 / $376.39 / $376.39	Facility	26	$179.26	$376.39	$376.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,115.94 / $1,115.94 / $1,452.60	Professional		$1,115.94	$1,115.94	$1,452.60
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $476.34 / $476.34 / $610.04	Professional	26	$476.34	$476.34	$610.04
United Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $194.32 / $340.10	Professional		$159.74	$194.32	$340.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.11 / $91.01 / $151.36	Professional	26	$72.11	$91.01	$151.36