Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.05 / $112.40 / $180.00	Facility	26	$92.05	$112.40	$180.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.75 / $180.00 / $291.50	Professional	26	$118.75	$180.00	$291.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $126.61 / $126.61 / $126.61	Professional	26	$126.61	$126.61	$126.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.84 / $90.45 / $115.96	Professional	26	$78.84	$90.45	$115.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.73 / $102.77 / $114.99	Professional	26	$66.73	$102.77	$114.99
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $145.60 / $145.60 / $145.60	Professional	26	$145.60	$145.60	$145.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.73 / $79.50 / $131.87	Professional	26	$63.73	$79.50	$131.87