Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $170.94 / $375.00 / $375.00	Facility	26	$170.94	$375.00	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $265.00 / $375.00	Professional	26	$93.63	$265.00	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.77 / $114.85 / $122.87	Professional	26	$84.77	$114.85	$122.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $112.18 / $175.83	Professional	26	$100.00	$112.18	$175.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.99 / $150.78 / $292.77	Professional	26	$114.99	$150.78	$292.77
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $149.51 / $313.64 / $417.52	Facility	26	$149.51	$313.64	$417.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.46 / $145.34 / $226.86	Professional	26	$107.46	$145.34	$226.86