Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.32 / $204.00 / $254.98	Facility	26	$84.32	$204.00	$254.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $248.25 / $459.50	Professional		$174.81	$248.25	$459.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $64.00 / $102.84	Professional	26	$51.30	$64.00	$102.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.56 / $56.95 / $71.15	Professional	26	$45.56	$56.95	$71.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.77 / $229.45 / $286.81	Professional		$200.77	$229.45	$286.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.31 / $59.78 / $74.73	Professional	26	$52.31	$59.78	$74.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.74 / $334.74 / $590.00	Professional		$172.74	$334.74	$590.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.46 / $74.87 / $128.51	Professional	26	$44.46	$74.87	$128.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $565.04 / $565.04 / $565.04	Facility	26	$565.04	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $363.01 / $2,293.84	Professional		$199.09	$363.01	$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 $199.09 / $301.18 / $501.40	Professional		$199.09	$301.18	$501.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $55.22 / $115.92	Professional	26	$51.86	$55.22	$115.92