Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.97 / $375.00 / $375.00	Facility	26	$162.97	$375.00	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $265.00 / $487.50	Professional	26	$93.63	$265.00	$487.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.81 / $106.02 / $121.92	Professional	26	$84.81	$106.02	$121.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $111.32 / $175.83	Professional	26	$100.00	$111.32	$175.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.40 / $147.24 / $290.52	Professional	26	$112.40	$147.24	$290.52
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $145.68 / $285.00 / $412.27	Facility	26	$145.68	$285.00	$412.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.52 / $141.10 / $243.92	Professional	26	$96.52	$141.10	$243.92