Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.52 / $168.77 / $284.47	Facility	26	$46.52	$168.77	$284.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $113.48 / $295.87	Professional		$102.30	$113.48	$295.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.71 / $46.52 / $87.12	Professional	26	$31.71	$46.52	$87.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.47 / $199.31 / $211.22	Professional		$186.47	$199.31	$211.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.75 / $91.06 / $93.34	Professional	26	$81.75	$91.06	$93.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $268.74 / $268.74 / $268.74	Facility	26	$268.74	$268.74	$268.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $236.06 / $307.37	Professional		$110.04	$236.06	$307.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.00 / $102.48 / $135.75	Professional	26	$42.00	$102.48	$135.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $217.99 / $217.99 / $217.99	Facility	26	$217.99	$217.99	$217.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $200.02 / $803.00	Professional		$120.52	$200.02	$803.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $64.51 / $310.62	Professional	26	$39.70	$64.51	$310.62
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $108.20 / $111.35 / $268.74	Facility	26	$108.20	$111.35	$268.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $226.29 / $286.25	Professional		$139.28	$226.29	$286.25
United Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $195.84 / $246.35	Professional		$120.52	$195.84	$246.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $63.75 / $97.69	Professional	26	$39.70	$63.75	$97.69