Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.66 / $80.87 / $470.37	Facility	26	$75.66	$80.87	$470.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $149.38 / $225.80	Professional		$108.32	$149.38	$225.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.34 / $82.56 / $96.13	Professional	26	$64.34	$82.56	$96.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $116.59 / $116.59 / $116.59	Professional	26	$116.59	$116.59	$116.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $156.80 / $222.21	Professional		$93.45	$156.80	$222.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.37 / $84.37 / $133.76	Facility	26	$84.37	$84.37	$133.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $201.34 / $372.18	Professional		$135.69	$201.34	$372.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.98 / $90.00 / $133.28	Professional	26	$73.98	$90.00	$133.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $217.15 / $419.33 / $419.33	Facility	26	$217.15	$419.33	$419.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $219.09 / $3,391.09	Professional		$151.94	$219.09	$3,391.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.52 / $101.06 / $632.75	Professional	26	$83.52	$101.06	$632.75
United Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $190.95 / $422.21	Professional		$147.55	$190.95	$422.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.98 / $92.97 / $149.96	Professional	26	$79.98	$92.97	$149.96