Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $95.50 / $102.33	Facility	26	$87.10	$95.50	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $275.42	Professional		$138.04	$165.96	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $169.82	Professional	26	$57.54	$70.79	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $199.53	Professional		$120.23	$144.54	$199.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $218.78	Professional		$165.96	$165.96	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $75.86 / $100.00	Professional	26	$75.86	$75.86	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $263.03	Professional		$147.91	$204.17	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $89.13 / $120.23	Professional	26	$64.57	$89.13	$120.23
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Professional	26	$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $251.19	Professional		$131.83	$169.82	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $77.62 / $114.82	Professional	26	$61.66	$77.62	$114.82