Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $77.33 / $447.74	Facility	26	$64.00	$77.33	$447.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $216.75 / $267.20	Professional		$196.11	$216.75	$267.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.64 / $392.31 / $392.31	Professional		$210.64	$392.31	$392.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $255.50 / $350.84	Professional		$85.88	$255.50	$350.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.73 / $74.73 / $125.58	Facility	26	$74.73	$74.73	$125.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $217.70 / $333.83	Professional		$167.81	$217.70	$333.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $186.25 / $352.73 / $352.73	Facility	26	$186.25	$352.73	$352.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.56 / $280.24 / $1,708.42	Professional		$210.56	$280.24	$1,708.42
United Facility/Professional Professional Modifier Low / Median / High Price $213.46 / $258.77 / $404.54	Professional		$213.46	$258.77	$404.54