Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.54 / $75.68 / $127.40	Facility	26	$69.54	$75.68	$127.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $126.42 / $212.62	Professional		$110.86	$126.42	$212.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $69.55 / $127.40	Professional	26	$60.27	$69.55	$127.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.03 / $160.79 / $222.62	Professional		$126.03	$160.79	$222.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $147.65 / $147.65 / $147.65	Professional	26	$147.65	$147.65	$147.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $188.00	Professional		$188.00	$188.00	$188.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $163.69 / $218.27	Professional		$103.54	$163.69	$218.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.60 / $95.40 / $122.66	Professional	26	$61.60	$95.40	$122.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $87.11	Professional		$32.34	$32.34	$87.11
United Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $136.84 / $204.82	Professional		$109.09	$136.84	$204.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.08 / $77.11 / $119.21	Professional	26	$61.08	$77.11	$119.21