Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $162.18 / $162.18	Facility	26	$89.13	$162.18	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $199.53	Professional	26	$89.13	$125.89	$199.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $89.13	Professional	26	$57.54	$70.79	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $151.36 / $208.93	Professional	26	$89.13	$151.36	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $95.50 / $162.18	Professional	26	$72.44	$95.50	$162.18