Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $89.13 / $263.03	Facility	26	$33.88	$89.13	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $549.54	Professional		$61.66	$128.82	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $223.87	Professional		$186.21	$186.21	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $199.53	Professional		$181.97	$190.55	$199.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $223.87 / $309.03	Professional		$89.13	$223.87	$309.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $125.89 / $125.89	Facility	26	$66.07	$125.89	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $676.08	Professional		$74.13	$117.49	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $346.74	Professional		$199.53	$218.78	$346.74
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $67.61 / $95.50	Professional	26	$54.95	$67.61	$95.50
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $229.09 / $346.74	Professional		$223.87	$229.09	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $234.42	Professional		$74.13	$117.49	$234.42