Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.25 / $28.01 / $55.40	Facility	26	$22.25	$28.01	$55.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $87.66 / $203.85	Professional		$73.09	$87.66	$203.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $24.07 / $36.40	Professional	26	$15.71	$24.07	$36.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $18.19 / $18.63	Professional	26	$18.19	$18.19	$18.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $162.87 / $162.87	Professional		$162.87	$162.87	$162.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $124.86 / $198.78	Professional		$58.14	$124.86	$198.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.62 / $28.99 / $43.87	Professional	26	$15.62	$28.99	$43.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $58.07 / $58.07 / $110.49	Facility	26	$58.07	$58.07	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $133.09 / $676.85	Professional		$74.95	$133.09	$676.85
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.58 / $153.55	Professional	26	$17.38	$28.58	$153.55
United Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $113.75 / $157.29	Professional		$73.51	$113.75	$157.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.48 / $42.45	Professional	26	$17.38	$26.48	$42.45