Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.00 / $300.00 / $621.34	Facility	26	$200.00	$300.00	$621.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.69 / $243.53 / $375.00	Professional	26	$114.69	$243.53	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.42 / $122.41 / $215.87	Professional	26	$84.42	$122.41	$215.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.10 / $173.94 / $272.93	Professional	26	$116.10	$173.94	$272.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.09 / $197.15 / $268.10	Professional	26	$99.09	$197.15	$268.10
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $827.12 / $1,042.72 / $1,063.59	Facility	26	$827.12	$1,042.72	$1,063.59
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 $114.11 / $163.56 / $300.48	Professional	26	$114.11	$163.56	$300.48