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 $29.11 / $265.00 / $375.00	Professional	26	$29.11	$265.00	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.53 / $48.53 / $48.53	Professional	26	$48.53	$48.53	$48.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.11 / $37.00 / $49.18	Professional	26	$27.11	$37.00	$49.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $38.40 / $74.52	Professional	26	$32.19	$38.40	$74.52
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $42.67 / $46.08 / $85.25	Facility	26	$42.67	$46.08	$85.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $35.26 / $58.06	Professional	26	$27.50	$35.26	$58.06