Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.78 / $193.08 / $260.64	Facility	26	$96.78	$193.08	$260.64
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.59 / $32.38 / $83.61	Facility	53	$21.59	$32.38	$83.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.71 / $352.88 / $438.97	Professional		$204.71	$352.88	$438.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.78 / $124.88 / $202.73	Professional	26	$96.78	$124.88	$202.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $90.01 / $128.22 / $130.65	Professional	26	$90.01	$128.22	$130.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.94 / $238.27 / $281.16	Professional		$173.94	$238.27	$281.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.30 / $110.00 / $129.80	Professional	26	$80.30	$110.00	$129.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $354.64 / $752.55	Professional		$221.05	$354.64	$752.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.41 / $150.94 / $330.13	Professional	26	$101.41	$150.94	$330.13
United Facility/Professional Professional Modifier Low / Median / High Price $188.39 / $251.18 / $397.92	Professional		$188.39	$251.18	$397.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.45 / $109.60 / $171.78	Professional	26	$84.45	$109.60	$171.78