Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $85.90 / $128.85	Facility	26	$85.90	$85.90	$128.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.73 / $135.31 / $337.00	Professional		$111.73	$135.31	$337.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $75.28 / $328.51	Professional	26	$60.27	$75.28	$328.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $155.05 / $193.53	Professional		$130.82	$155.05	$193.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.45 / $106.03 / $106.03	Professional	26	$72.45	$106.03	$106.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $161.32 / $161.32	Professional		$121.88	$161.32	$161.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.33 / $91.76 / $91.76	Professional	26	$69.33	$91.76	$91.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $75.19 / $139.10	Professional		$50.90	$75.19	$139.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $164.41 / $208.24	Professional		$106.82	$164.41	$208.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.48 / $95.01 / $125.53	Professional	26	$63.48	$95.01	$125.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $189.00 / $222.56	Professional		$150.44	$189.00	$222.56
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $101.32 / $121.93 / $121.93	Professional	26	$101.32	$121.93	$121.93
United Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $142.61 / $219.94	Professional		$99.32	$142.61	$219.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.06 / $81.90 / $127.87	Professional	26	$56.06	$81.90	$127.87