Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.00 / $374.00 / $548.26	Facility	26	$200.00	$374.00	$548.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $200.00 / $375.00	Professional	26	$100.00	$200.00	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.21 / $93.21 / $93.21	Professional	26	$93.21	$93.21	$93.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.95 / $154.00 / $241.64	Professional	26	$102.95	$154.00	$241.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.58 / $174.16 / $238.82	Professional	26	$88.58	$174.16	$238.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $734.80 / $924.96 / $945.52	Facility	26	$734.80	$924.96	$945.52
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,192.32 / $1,192.32 / $1,192.32	Professional	26	$1,192.32	$1,192.32	$1,192.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.03 / $128.46 / $266.77	Professional	26	$101.03	$128.46	$266.77