Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.00 / $375.00 / $464.78	Facility	26	$200.00	$375.00	$464.78
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 $144.88 / $144.88 / $144.88	Professional	26	$144.88	$144.88	$144.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.78 / $129.47 / $198.77	Professional	26	$83.78	$129.47	$198.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.75 / $152.10 / $207.21	Professional	26	$72.75	$152.10	$207.21
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $197.95 / $754.00 / $1,566.00	Facility	26	$197.95	$754.00	$1,566.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,566.00 / $2,660.92 / $2,733.83	Professional	26	$1,566.00	$2,660.92	$2,733.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.34 / $115.14 / $221.81	Professional	26	$84.34	$115.14	$221.81