Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $181.97 / $190.55	Facility	26	$154.88	$181.97	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $154.88 / $323.59	Professional	26	$107.15	$154.88	$323.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $87.10 / $194.98	Professional	26	$85.11	$87.10	$194.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $151.36 / $194.98	Professional	26	$131.83	$151.36	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $173.78 / $199.53	Professional	26	$112.20	$173.78	$199.53
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $218.78 / $239.88	Professional	26	$208.93	$218.78	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $134.90 / $218.78	Professional	26	$107.15	$134.90	$218.78