Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.47 / $145.47 / $145.47	Facility	26	$145.47	$145.47	$145.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.48 / $145.47 / $145.47	Professional	26	$93.48	$145.47	$145.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $121.08 / $132.87 / $132.87	Professional	26	$121.08	$132.87	$132.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.37 / $112.84 / $133.15	Professional	26	$82.37	$112.84	$133.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.37 / $135.37 / $135.37	Facility	26	$135.37	$135.37	$135.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.05 / $145.88 / $384.53	Professional	26	$87.05	$145.88	$384.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.30 / $112.84 / $157.81	Professional	26	$87.30	$112.84	$157.81