Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.00 / $200.00 / $375.00	Facility	26	$200.00	$200.00	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.68 / $200.00 / $375.00	Professional	26	$44.68	$200.00	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $46.21 / $50.42	Professional	26	$33.88	$46.21	$50.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.63 / $43.16 / $70.41	Professional	26	$29.63	$43.16	$70.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $50.09 / $70.63	Professional	26	$25.26	$50.09	$70.63
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $68.92 / $141.50 / $141.50	Facility	26	$68.92	$141.50	$141.50
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $183.60 / $183.60 / $230.18	Professional	26	$183.60	$183.60	$230.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $40.03 / $76.17	Professional	26	$28.82	$40.03	$76.17