Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.29 / $153.68 / $180.00	Facility	26	$125.29	$153.68	$180.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.75 / $180.00 / $180.00	Professional	26	$118.75	$180.00	$180.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $159.37 / $167.39 / $167.39	Professional	26	$159.37	$167.39	$167.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.83 / $120.24 / $154.16	Professional	26	$104.83	$120.24	$154.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.25 / $136.69 / $151.80	Professional	26	$91.25	$136.69	$151.80
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $192.50 / $192.50 / $192.50	Professional	26	$192.50	$192.50	$192.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.89 / $104.98 / $171.50	Professional	26	$82.89	$104.98	$171.50