Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $85.11 / $524.81	Facility	26	$75.86	$85.11	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $269.15	Professional		$123.03	$154.88	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $89.13 / $154.88	Professional	26	$74.13	$89.13	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $100.00 / $104.71	Professional	26	$87.10	$100.00	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $213.80	Professional		$93.33	$158.49	$213.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $134.90	Facility	26	$85.11	$85.11	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $537.03	Professional		$134.90	$223.87	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $158.49	Professional	26	$70.79	$91.20	$158.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $416.87 / $416.87	Facility	26	$218.78	$416.87	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $3,388.44	Professional		$151.36	$218.78	$3,388.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $100.00 / $630.96	Professional	26	$83.18	$100.00	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $478.63	Professional		$144.54	$173.78	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $95.50 / $141.25	Professional	26	$81.28	$95.50	$141.25