Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $181.97 / $218.78	Facility	26	$144.54	$181.97	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $263.03	Professional	26	$85.11	$138.04	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $109.65 / $154.88	Professional	26	$69.18	$109.65	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $107.15 / $138.04	Professional	26	$93.33	$107.15	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $131.83 / $151.36	Professional	26	$85.11	$131.83	$151.36
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $134.90 / $177.83	Professional	26	$125.89	$134.90	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $104.71 / $169.82	Professional	26	$77.62	$104.71	$169.82