Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $60.26 / $61.66	Facility	26	$48.98	$60.26	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $363.08	Professional		$165.96	$239.88	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $37.15 / $60.26	Professional	26	$25.12	$37.15	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $46.77 / $64.57	Professional	26	$28.18	$46.77	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $446.68	Professional		$309.03	$354.81	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $48.98 / $63.10	Professional	26	$42.66	$48.98	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $524.81	Professional		$162.18	$346.74	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $52.48 / $75.86	Professional	26	$38.90	$52.48	$75.86
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $69.18 / $74.13	Professional	26	$58.88	$69.18	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $489.78	Professional		$162.18	$269.15	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $40.74 / $70.79	Professional	26	$34.67	$40.74	$70.79