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 $68.42 / $265.00 / $375.00	Professional	26	$68.42	$265.00	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.31 / $64.31 / $64.31	Professional	26	$64.31	$64.31	$64.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.31 / $100.00 / $137.26	Professional	26	$64.31	$100.00	$137.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.34 / $94.92 / $176.64	Professional	26	$68.34	$94.92	$176.64
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $107.33 / $134.24 / $247.84	Facility	26	$107.33	$134.24	$247.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.75 / $81.08 / $143.51	Professional	26	$65.75	$81.08	$143.51