Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.73 / $204.97 / $256.20	Facility	26	$84.73	$204.97	$256.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $275.00 / $412.50	Professional		$174.11	$275.00	$412.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $60.63 / $80.84	Professional	26	$51.30	$60.63	$80.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.17 / $174.17 / $174.17	Professional		$174.17	$174.17	$174.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.31 / $46.31 / $110.46	Professional	26	$46.31	$46.31	$110.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.38 / $226.72 / $283.39	Professional		$198.38	$226.72	$283.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.02 / $59.45 / $74.31	Professional	26	$52.02	$59.45	$74.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.62 / $334.44 / $588.10	Professional		$171.62	$334.44	$588.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.21 / $74.67 / $128.51	Professional	26	$44.21	$74.67	$128.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $363.97 / $2,293.84	Professional		$198.78	$363.97	$2,293.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $61.18 / $523.40	Professional	26	$51.86	$61.18	$523.40
United Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $298.87 / $513.91	Professional		$198.78	$298.87	$513.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $55.22 / $115.92	Professional	26	$51.86	$55.22	$115.92