Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $26.92 / $31.62	Facility	26	$23.99	$26.92	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $181.97	Professional		$60.26	$81.28	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.89 / $61.66	Professional	26	$16.98	$20.89	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $109.65	Professional		$69.18	$95.50	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $17.38 / $28.84	Professional	26	$16.22	$17.38	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $97.72	Professional		$74.13	$74.13	$97.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.42 / $26.92	Professional	26	$20.42	$20.42	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $60.26 / $83.18	Professional		$22.91	$60.26	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $123.03	Professional		$52.48	$83.18	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.12 / $33.88	Professional	26	$19.05	$25.12	$33.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $151.36	Professional		$109.65	$114.82	$151.36
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Professional	26	$33.11	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $123.03	Professional		$40.74	$74.13	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.38 / $35.48	Professional	26	$17.38	$21.38	$35.48