Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.40 / $110.91 / $212.23	Facility	26	$69.40	$110.91	$212.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $190.58 / $251.29	Professional		$163.69	$190.58	$251.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $90.79 / $112.29	Professional	26	$49.34	$90.79	$112.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.12 / $69.12 / $99.36	Professional	26	$69.12	$69.12	$99.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.07 / $396.07 / $396.07	Professional		$396.07	$396.07	$396.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.86 / $257.87 / $818.30	Professional		$116.86	$257.87	$818.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.62 / $91.76 / $168.55	Professional	26	$47.62	$91.76	$168.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $221.69 / $221.69 / $423.87	Facility	26	$221.69	$221.69	$423.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.77 / $372.41 / $3,093.52	Professional		$186.77	$372.41	$3,093.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.37 / $110.37 / $676.01	Professional	26	$54.37	$110.37	$676.01
United Facility/Professional Professional Modifier Low / Median / High Price $184.94 / $257.47 / $409.65	Professional		$184.94	$257.47	$409.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.37 / $100.33 / $160.53	Professional	26	$54.37	$100.33	$160.53