Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.22 / $112.12 / $206.46	Facility	26	$104.22	$112.12	$206.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $173.43 / $221.18	Professional		$167.24	$173.43	$221.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.76 / $87.65 / $121.76	Professional	26	$81.76	$87.65	$121.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $184.99 / $266.29	Professional		$128.68	$184.99	$266.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $96.08 / $127.70	Professional	26	$66.84	$96.08	$127.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.69 / $314.69 / $314.69	Professional		$314.69	$314.69	$314.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $228.53 / $377.00	Professional		$133.13	$228.53	$377.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.75 / $119.52 / $167.17	Professional	26	$76.75	$119.52	$167.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.26 / $213.26 / $404.21	Facility	26	$213.26	$213.26	$404.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $247.13 / $1,463.47	Professional		$180.81	$247.13	$1,463.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.91 / $118.57 / $605.95	Professional	26	$89.91	$118.57	$605.95
United Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $217.71 / $350.74	Professional		$180.81	$217.71	$350.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.88 / $106.39 / $164.43	Professional	26	$91.88	$106.39	$164.43