Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.24 / $112.26 / $303.27	Facility	26	$33.24	$112.26	$303.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $228.40 / $594.78	Professional		$109.75	$228.40	$594.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.16 / $271.49 / $271.49	Professional		$205.16	$271.49	$271.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.87 / $215.81 / $221.22	Professional		$199.87	$215.81	$221.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $193.08 / $193.08 / $193.08	Facility	26	$193.08	$193.08	$193.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $251.18 / $335.49	Professional		$99.84	$251.18	$335.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $154.38 / $154.38 / $154.38	Facility	26	$154.38	$154.38	$154.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $210.94 / $355.35	Professional		$132.60	$210.94	$355.35
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $112.09 / $115.36 / $193.08	Facility	26	$112.09	$115.36	$193.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $243.39 / $304.89	Professional		$172.00	$243.39	$304.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.40 / $238.80 / $318.39	Professional		$158.40	$238.80	$318.39
United Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $156.35 / $271.49	Professional		$132.60	$156.35	$271.49