Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $346.74	Professional		$138.04	$165.96	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $72.44 / $234.42	Professional	26	$58.88	$72.44	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $158.49	Professional		$144.54	$144.54	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $107.15 / $165.96	Professional		$47.86	$107.15	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $75.86 / $109.65	Facility	26	$16.22	$75.86	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $295.12	Professional		$158.49	$218.78	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $97.72 / $128.82	Professional	26	$70.79	$97.72	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $346.74	Professional		$165.96	$234.42	$346.74
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $95.50 / $128.82	Professional	26	$74.13	$95.50	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $316.23	Professional		$158.49	$223.87	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $97.72 / $141.25	Professional	26	$67.61	$97.72	$141.25