Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.62 / $92.62 / $92.62	Facility	26	$92.62	$92.62	$92.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.62 / $93.97 / $163.46	Professional	26	$92.62	$93.97	$163.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $102.53 / $102.53 / $102.53	Professional	26	$102.53	$102.53	$102.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.53 / $151.00 / $207.26	Professional	26	$102.53	$151.00	$207.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.69 / $150.16 / $271.25	Professional	26	$110.69	$150.16	$271.25
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $187.66 / $190.96 / $336.65	Facility	26	$187.66	$190.96	$336.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.50 / $141.24 / $234.40	Professional	26	$110.50	$141.24	$234.40