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 $90.00 / $167.97 / $375.00	Professional	26	$90.00	$167.97	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.23 / $75.23 / $101.88	Professional	26	$75.23	$75.23	$101.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.77 / $105.00 / $175.83	Professional	26	$94.77	$105.00	$175.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.32 / $133.06 / $261.98	Professional	26	$101.32	$133.06	$261.98
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $131.81 / $237.78 / $374.12	Facility	26	$131.81	$237.78	$374.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.01 / $120.54 / $212.69	Professional	26	$99.01	$120.54	$212.69