Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $23.99	Facility	26	$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $194.98	Professional		$117.49	$138.04	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $23.99 / $40.74	Professional	26	$20.89	$23.99	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $20.89 / $22.91	Professional	26	$20.89	$20.89	$22.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $199.53	Professional		$120.23	$138.04	$199.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.20 / $42.66	Professional	26	$23.44	$30.20	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $309.03	Professional		$141.25	$177.83	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $28.84 / $50.12	Professional	26	$23.99	$28.84	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $257.04	Professional		$128.82	$158.49	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $25.70 / $42.66	Professional	26	$21.38	$25.70	$42.66