Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $375.00 / $375.00 / $375.00	Facility	26	$375.00	$375.00	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.97 / $265.00 / $375.00	Professional	26	$87.97	$265.00	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $146.21 / $146.21 / $146.21	Professional	26	$146.21	$146.21	$146.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.68 / $112.00 / $163.04	Professional	26	$81.68	$112.00	$163.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.55 / $113.98 / $224.44	Professional	26	$95.55	$113.98	$224.44
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $136.97 / $138.36 / $272.11	Facility	26	$136.97	$138.36	$272.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.66 / $109.58 / $167.44	Professional	26	$81.66	$109.58	$167.44