Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.50 / $298.12 / $502.50	Facility	26	$55.50	$298.12	$502.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.66 / $219.66 / $1,398.08	Professional		$219.66	$219.66	$1,398.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $55.50 / $345.02	Professional	26	$52.46	$55.50	$345.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $128.43 / $128.43 / $128.43	Professional	26	$128.43	$128.43	$128.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.92 / $433.88 / $454.69	Professional		$405.92	$433.88	$454.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.12 / $108.08 / $114.88	Professional	26	$101.12	$108.08	$114.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $318.95 / $318.95 / $318.95	Facility	26	$318.95	$318.95	$318.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.95 / $536.03 / $734.98	Professional		$309.95	$536.03	$734.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.51 / $126.93 / $162.90	Professional	26	$73.51	$126.93	$162.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $537.20 / $537.20 / $537.20	Facility	26	$537.20	$537.20	$537.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $336.34 / $514.88 / $2,077.23	Professional		$336.34	$514.88	$2,077.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.08 / $117.66 / $394.61	Professional	26	$70.08	$117.66	$394.61
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $186.85 / $192.29 / $318.95	Facility	26	$186.85	$192.29	$318.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $439.60 / $546.29 / $708.59	Professional		$439.60	$546.29	$708.59
United Facility/Professional Professional Modifier Low / Median / High Price $336.34 / $514.88 / $628.95	Professional		$336.34	$514.88	$628.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.27 / $115.81 / $144.38	Professional	26	$71.27	$115.81	$144.38