Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.91 / $137.91 / $170.53	Facility	26	$137.91	$137.91	$170.53
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.17 / $59.17 / $89.49	Facility	53	$59.17	$59.17	$89.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.48 / $295.87 / $441.11	Professional		$222.48	$295.87	$441.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.09 / $131.18 / $338.00	Professional	26	$87.09	$131.18	$338.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $141.96 / $151.40 / $191.01	Professional	26	$141.96	$151.40	$191.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.82 / $318.73 / $318.73	Professional		$240.82	$318.73	$318.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.18 / $149.80 / $149.80	Professional	26	$113.18	$149.80	$149.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $137.81 / $265.33	Professional		$103.18	$137.81	$265.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.75 / $397.38 / $521.57	Professional		$262.75	$397.38	$521.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.93 / $166.45 / $216.38	Professional	26	$116.93	$166.45	$216.38
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $149.71 / $174.11 / $249.52	Professional	26	$149.71	$174.11	$249.52
United Facility/Professional Professional Modifier Low / Median / High Price $226.06 / $351.65 / $481.62	Professional		$226.06	$351.65	$481.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.41 / $144.90 / $221.30	Professional	26	$97.41	$144.90	$221.30