Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $38.90 / $54.95	Facility	26	$26.92	$38.90	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $213.80	Professional		$63.10	$87.10	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $28.84 / $61.66	Professional	26	$15.85	$28.84	$61.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $19.50 / $30.90	Professional	26	$18.62	$19.50	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $120.23 / $199.53	Professional		$56.23	$120.23	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $26.92 / $53.70	Professional	26	$16.60	$26.92	$53.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $109.65	Facility	26	$57.54	$57.54	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $676.08	Professional		$72.44	$131.83	$676.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.84 / $154.88	Professional	26	$17.38	$28.84	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $154.88	Professional		$70.79	$114.82	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $25.70 / $38.90	Professional	26	$17.38	$25.70	$38.90