Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $144.54 / $426.58	Facility	26	$74.13	$144.54	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $954.99	Professional		$173.78	$208.93	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $60.26 / $138.04	Professional	26	$44.67	$60.26	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	26	$45.71	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $416.87	Professional		$380.19	$398.11	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $109.65 / $114.82	Professional	26	$100.00	$109.65	$114.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $407.38 / $645.65	Professional		$169.82	$407.38	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $114.82 / $173.78	Professional	26	$47.86	$114.82	$173.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $1,479.11	Professional		$199.53	$331.13	$1,479.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $91.20 / $380.19	Professional	26	$60.26	$91.20	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $724.44	Professional		$416.87	$489.78	$724.44
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $125.89 / $199.53	Professional	26	$114.82	$125.89	$199.53
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $724.44	Professional		$245.47	$263.03	$724.44
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $95.50 / $199.53	Professional	26	$79.43	$95.50	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $478.63	Professional		$204.17	$302.00	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $138.04	Professional	26	$60.26	$89.13	$138.04