Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $190.55 / $478.63	Facility	26	$162.18	$190.55	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $426.58	Professional		$144.54	$199.53	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $95.50 / $389.05	Professional	26	$52.48	$95.50	$389.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	26	$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $323.59	Professional		$281.84	$309.03	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $169.82 / $177.83	Professional	26	$123.03	$169.82	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $354.81 / $501.19	Professional		$134.90	$354.81	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $151.36 / $269.15	Professional	26	$67.61	$151.36	$269.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	26	$426.58	$426.58	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $3,090.30	Professional		$208.93	$338.84	$3,090.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $138.04 / $676.08	Professional	26	$72.44	$138.04	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $575.44	Professional		$323.59	$363.08	$575.44
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $199.53 / $316.23	Professional	26	$125.89	$199.53	$316.23
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $954.99	Professional		$363.08	$489.78	$954.99
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $112.20 / $316.23	Professional	26	$107.15	$112.20	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $501.19	Professional		$186.21	$302.00	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $123.03 / $199.53	Professional	26	$69.18	$123.03	$199.53