Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.97 / $87.97 / $208.17	Facility	26	$87.97	$87.97	$208.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.70 / $90.00 / $265.00	Professional	26	$81.70	$90.00	$265.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $142.97 / $142.97 / $142.97	Professional	26	$142.97	$142.97	$142.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $230.60 / $230.60 / $230.60	Professional	26	$230.60	$230.60	$230.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.80 / $99.80 / $99.80	Facility	26	$99.80	$99.80	$99.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.09 / $162.25 / $255.94	Professional	26	$101.09	$162.25	$255.94
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $138.36 / $138.36 / $267.50	Facility	26	$138.36	$138.36	$267.50
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $138.36 / $138.36 / $138.36	Professional	26	$138.36	$138.36	$138.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.11 / $127.97 / $249.61	Professional	26	$90.11	$127.97	$249.61
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $207.94 / $207.94 / $426.88	Facility	26	$207.94	$207.94	$426.88
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $554.45 / $692.03 / $692.03	Professional	26	$554.45	$692.03	$692.03