Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.69 / $180.00 / $203.83	Facility	26	$154.69	$180.00	$203.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.75 / $186.63 / $265.00	Professional	26	$118.75	$186.63	$265.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $180.82 / $193.53 / $210.08	Professional	26	$180.82	$193.53	$210.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $132.09 / $151.52 / $194.25	Professional	26	$132.09	$151.52	$194.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.88 / $167.54 / $190.63	Professional	26	$111.88	$167.54	$190.63
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $207.94 / $222.56 / $241.59	Professional	26	$207.94	$222.56	$241.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.48 / $133.88 / $220.75	Professional	26	$99.48	$133.88	$220.75