Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.46 / $77.81 / $131.18	Facility	26	$14.46	$77.81	$131.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $93.11 / $515.47	Professional		$93.04	$93.11	$515.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $14.12 / $83.99	Professional	26	$13.26	$14.12	$83.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.84 / $187.28 / $193.91	Professional		$169.84	$187.28	$193.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.59 / $28.42 / $29.23	Professional	26	$26.59	$28.42	$29.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.88 / $83.88 / $83.88	Facility	26	$83.88	$83.88	$83.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $201.20 / $303.49	Professional		$89.01	$201.20	$303.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.67 / $32.42 / $42.66	Professional	26	$17.67	$32.42	$42.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.91 / $141.91 / $141.91	Facility	26	$141.91	$141.91	$141.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $160.44 / $611.40	Professional		$97.31	$160.44	$611.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.52 / $28.47 / $163.46	Professional	26	$17.52	$28.47	$163.46
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $50.97 / $52.46 / $83.88	Facility	26	$50.97	$52.46	$83.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $173.77 / $238.21	Professional		$118.00	$173.77	$238.21
United Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $158.55 / $205.70	Professional		$89.86	$158.55	$205.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.52 / $28.47 / $35.81	Professional	26	$17.52	$28.47	$35.81