Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $131.83	Facility	26	$70.79	$70.79	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $338.84	Professional		$141.25	$169.82	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $239.88	Professional	26	$61.66	$81.28	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $199.53	Professional		$131.83	$138.04	$199.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $95.50 / $131.83	Professional	26	$67.61	$95.50	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $204.17 / $323.59	Professional		$85.11	$204.17	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $100.00 / $151.36	Professional	26	$70.79	$100.00	$151.36
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 $147.91 / $190.55 / $309.03	Professional		$147.91	$190.55	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $87.10 / $138.04	Professional	26	$67.61	$87.10	$138.04
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	26	$426.58	$426.58	$426.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,288.25	Professional		$977.24	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $537.03 / $537.03	Professional	26	$426.58	$537.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $281.84	Professional		$128.82	$169.82	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $77.62 / $128.82	Professional	26	$58.88	$77.62	$128.82