Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.00 / $525.00 / $2,560.84	Facility	26	$200.00	$525.00	$2,560.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.94 / $250.83 / $375.00	Professional	26	$113.94	$250.83	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.61 / $121.23 / $214.07	Professional	26	$83.61	$121.23	$214.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.62 / $172.42 / $270.54	Professional	26	$114.62	$172.42	$270.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.24 / $192.55 / $264.73	Professional	26	$98.24	$192.55	$264.73
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $822.88 / $1,034.88 / $1,053.11	Facility	26	$822.88	$1,034.88	$1,053.11
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 $111.68 / $142.32 / $290.13	Professional	26	$111.68	$142.32	$290.13