Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.00 / $300.00 / $374.00	Facility	26	$200.00	$300.00	$374.00
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 $128.38 / $128.38 / $128.38	Professional	26	$128.38	$128.38	$128.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.92 / $105.50 / $163.74	Professional	26	$68.92	$105.50	$163.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.78 / $120.72 / $160.02	Professional	26	$59.78	$120.72	$160.02
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $497.44 / $628.16 / $642.55	Facility	26	$497.44	$628.16	$642.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2,062.23 / $3,244.00 / $3,244.00	Professional	26	$2,062.23	$3,244.00	$3,244.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.13 / $86.30 / $181.46	Professional	26	$68.13	$86.30	$181.46