Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $100.00 / $309.03	Facility	26	$72.44	$100.00	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $269.15	Professional		$95.50	$112.20	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $57.54 / $120.23	Professional	26	$32.36	$57.54	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $85.11	Professional		$58.88	$58.88	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $38.02 / $87.10	Professional	26	$36.31	$38.02	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $208.93	Professional		$186.21	$199.53	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $89.13 / $93.33	Professional	26	$75.86	$89.13	$93.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $316.23	Professional		$85.11	$213.80	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $91.20 / $138.04	Professional	26	$38.02	$91.20	$138.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $794.33	Professional		$117.49	$165.96	$794.33
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $58.88 / $309.03	Professional	26	$39.81	$58.88	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $363.08	Professional		$204.17	$234.42	$363.08
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $102.33 / $162.18	Professional	26	$79.43	$102.33	$162.18
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $363.08	Professional		$131.83	$151.36	$363.08
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $67.61 / $162.18	Professional	26	$57.54	$67.61	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $251.19	Professional		$104.71	$162.18	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $52.48 / $97.72	Professional	26	$35.48	$52.48	$97.72