Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.81 / $71.43 / $171.94	Facility	26	$64.81	$71.43	$171.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $164.25 / $256.79	Professional		$141.85	$164.25	$256.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.66 / $71.43 / $132.88	Professional	26	$62.66	$71.43	$132.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $138.58 / $293.51	Professional		$133.15	$138.58	$293.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $92.75 / $121.43 / $124.11	Professional	26	$92.75	$121.43	$124.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.76 / $214.36 / $328.22	Professional		$149.76	$214.36	$328.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.45 / $93.29 / $141.11	Professional	26	$67.45	$93.29	$141.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.65 / $191.65 / $300.19	Professional		$148.65	$191.65	$300.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.98 / $87.88 / $133.71	Professional	26	$66.98	$87.88	$133.71
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $157.36 / $302.75 / $327.56	Facility	26	$157.36	$302.75	$327.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $982.06 / $982.06 / $1,296.45	Professional		$982.06	$982.06	$1,296.45
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $428.85 / $428.85 / $540.45	Professional	26	$428.85	$428.85	$540.45
United Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $171.56 / $306.98	Professional		$133.16	$171.56	$306.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.05 / $76.08 / $137.22	Professional	26	$61.05	$76.08	$137.22