Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.37 / $45.56 / $87.53	Facility	26	$28.37	$45.56	$87.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $117.67 / $142.91	Professional		$96.60	$117.67	$142.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $38.08 / $58.05	Professional	26	$20.17	$38.08	$58.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $85.90 / $85.90	Professional		$85.90	$85.90	$85.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.32 / $28.32 / $40.71	Professional	26	$28.32	$28.32	$40.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $138.90 / $138.90	Professional		$138.90	$138.90	$138.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $139.72 / $216.40	Professional		$77.94	$139.72	$216.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $38.27 / $68.86	Professional	26	$20.39	$38.27	$68.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $90.38 / $172.60	Facility	26	$90.38	$90.38	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $135.38 / $810.58	Professional		$91.28	$135.38	$810.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.27 / $45.13 / $242.65	Professional	26	$22.27	$45.13	$242.65
United Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $122.85 / $196.91	Professional		$91.28	$122.85	$196.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.27 / $41.86 / $66.98	Professional	26	$22.27	$41.86	$66.98