Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.00 / $374.00 / $375.00	Facility	26	$200.00	$374.00	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $200.00 / $375.00	Professional	26	$90.00	$200.00	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.34 / $101.95 / $152.07	Professional	26	$80.34	$101.95	$152.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.00 / $128.13 / $210.21	Professional	26	$88.00	$128.13	$210.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.06 / $148.99 / $209.86	Professional	26	$76.06	$148.99	$209.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $207.94 / $426.88 / $426.88	Facility	26	$207.94	$426.88	$426.88
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $554.45 / $554.45 / $692.03	Professional	26	$554.45	$554.45	$692.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.72 / $119.16 / $231.07	Professional	26	$85.72	$119.16	$231.07