Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.27 / $163.10 / $195.71	Facility	26	$145.27	$163.10	$195.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.58 / $145.27 / $208.69	Professional	26	$75.58	$145.27	$208.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $175.37 / $175.37 / $200.57	Professional	26	$175.37	$175.37	$200.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.18 / $156.41 / $173.80	Professional	26	$118.18	$156.41	$173.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.27 / $166.68 / $222.63	Professional	26	$117.27	$166.68	$222.63
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $201.68 / $201.68 / $230.66	Professional	26	$201.68	$201.68	$230.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.73 / $128.01 / $210.48	Professional	26	$101.73	$128.01	$210.48