Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.11 / $69.54 / $167.40	Facility	26	$63.11	$69.54	$167.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $126.42 / $250.59	Professional		$104.47	$126.42	$250.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $69.54 / $129.38	Professional	26	$60.27	$69.54	$129.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $126.03 / $211.25	Professional		$92.33	$126.03	$211.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.13 / $91.65 / $117.97	Professional	26	$57.13	$91.65	$117.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $151.91 / $231.90	Professional		$109.62	$151.91	$231.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.98 / $86.28 / $132.69	Professional	26	$61.98	$86.28	$132.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $151.72 / $274.92	Professional		$109.56	$151.72	$274.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.84 / $87.02 / $155.58	Professional	26	$64.84	$87.02	$155.58
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $149.97 / $321.77 / $321.77	Facility	26	$149.97	$321.77	$321.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $728.40 / $728.40 / $908.78	Professional		$728.40	$728.40	$908.78
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $414.32 / $414.32 / $520.04	Professional	26	$414.32	$414.32	$520.04
United Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $143.96 / $251.89	Professional		$108.24	$143.96	$251.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.56 / $83.61 / $148.44	Professional	26	$61.56	$83.61	$148.44