Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.37 / $180.00 / $270.00	Facility	26	$139.37	$180.00	$270.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.75 / $180.00 / $288.00	Professional	26	$118.75	$180.00	$288.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $109.21 / $144.05 / $144.18	Professional	26	$109.21	$144.05	$144.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.04 / $106.72 / $136.82	Professional	26	$93.04	$106.72	$136.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.86 / $125.36 / $146.29	Professional	26	$84.86	$125.36	$146.29
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $125.59 / $125.59 / $165.81	Professional	26	$125.59	$125.59	$165.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.25 / $99.50 / $169.61	Professional	26	$77.25	$99.50	$169.61