Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $380.19 / $446.68	Facility	26	$138.04	$380.19	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $426.58	Professional		$120.23	$181.97	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $93.33 / $295.12	Professional	26	$53.70	$93.33	$295.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $75.86 / $128.82	Professional	26	$69.18	$75.86	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $288.40	Professional		$125.89	$154.88	$288.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $83.18 / $147.91	Professional	26	$64.57	$83.18	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $107.15 / $154.88	Facility	26	$22.91	$107.15	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $524.81	Professional		$134.90	$245.47	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $154.88	Professional	26	$54.95	$79.43	$154.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $426.58 / $426.58	Facility	26	$223.87	$426.58	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $3,090.30	Professional		$151.36	$269.15	$3,090.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $95.50 / $676.08	Professional	26	$54.95	$95.50	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $398.11	Professional		$151.36	$223.87	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $128.82	Professional	26	$54.95	$79.43	$128.82