Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $151.36 / $181.97	Facility	26	$125.89	$151.36	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $263.03	Professional	26	$89.13	$125.89	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	26	$169.82	$169.82	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $120.23 / $154.88	Professional	26	$104.71	$120.23	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $138.04 / $158.49	Professional	26	$91.20	$138.04	$158.49
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	26	$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $104.71 / $169.82	Professional	26	$83.18	$104.71	$169.82