Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.13 / $88.16 / $110.16	Facility	26	$86.13	$88.16	$110.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.27 / $164.26 / $246.93	Professional		$141.27	$164.26	$246.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.79 / $71.43 / $110.19	Professional	26	$58.79	$71.43	$110.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.04 / $182.04 / $182.04	Professional		$182.04	$182.04	$182.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.61 / $93.61 / $93.61	Professional	26	$93.61	$93.61	$93.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $208.09 / $244.81	Professional		$166.47	$208.09	$244.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.75 / $94.68 / $111.39	Professional	26	$75.75	$94.68	$111.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.57 / $206.49 / $253.72	Professional		$146.57	$206.49	$253.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.18 / $92.88 / $116.96	Professional	26	$65.18	$92.88	$116.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $209.35 / $209.35 / $209.35	Professional		$209.35	$209.35	$209.35
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $107.65 / $107.65 / $107.65	Professional	26	$107.65	$107.65	$107.65
United Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $165.21 / $266.74	Professional		$130.85	$165.21	$266.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.63 / $77.30 / $123.45	Professional	26	$59.63	$77.30	$123.45