Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.85 / $282.52 / $383.56	Facility	26	$126.85	$282.52	$383.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.43 / $265.52 / $981.00	Professional		$173.43	$265.52	$981.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.76 / $93.29 / $341.92	Professional	26	$81.76	$93.29	$341.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $135.22 / $236.66	Professional		$126.78	$135.22	$236.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $68.47 / $68.47 / $84.98	Professional	26	$68.47	$68.47	$84.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $150.43 / $224.44	Professional		$112.82	$150.43	$224.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.32 / $71.09 / $88.87	Professional	26	$53.32	$71.09	$88.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.92 / $102.92 / $102.92	Facility	26	$102.92	$102.92	$102.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.96 / $235.16 / $351.23	Professional		$147.96	$235.16	$351.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.23 / $107.80 / $177.52	Professional	26	$76.23	$107.80	$177.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.26 / $404.21 / $404.21	Facility	26	$213.26	$404.21	$404.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.59 / $214.13 / $1,463.47	Professional		$178.59	$214.13	$1,463.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $90.82 / $99.23 / $605.95	Professional	26	$90.82	$99.23	$605.95
United Facility/Professional Professional Modifier Low / Median / High Price $178.59 / $193.33 / $331.57	Professional		$178.59	$193.33	$331.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.82 / $99.23 / $182.00	Professional	26	$90.82	$99.23	$182.00