Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $100.00 / $109.65	Facility	26	$79.43	$100.00	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $275.42	Professional		$91.20	$123.03	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.91 / $72.44	Professional	26	$18.20	$22.91	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.88 / $21.88	Professional	26	$19.05	$21.88	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $234.42	Professional		$102.33	$125.89	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.50 / $36.31	Professional	26	$15.85	$19.50	$36.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $245.47	Professional		$97.72	$134.90	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.54 / $50.12	Professional	26	$19.50	$27.54	$50.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $109.65 / $109.65	Facility	26	$53.70	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $891.25	Professional		$104.71	$128.82	$891.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $25.12 / $186.21	Professional	26	$22.39	$25.12	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $190.55	Professional		$102.33	$128.82	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $25.12 / $38.02	Professional	26	$22.39	$25.12	$38.02