Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.50 / $76.65 / $418.08	Facility	26	$59.50	$76.65	$418.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $219.55 / $239.96	Professional		$147.34	$219.55	$239.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $306.80 / $306.80	Professional		$306.80	$306.80	$306.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $162.72 / $310.79	Professional		$83.13	$162.72	$310.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.53 / $196.43 / $294.35	Professional		$158.53	$196.43	$294.35
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $172.46 / $336.07 / $336.07	Facility	26	$172.46	$336.07	$336.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.92 / $247.27 / $463.15	Professional		$180.92	$247.27	$463.15
United Facility/Professional Professional Modifier Low / Median / High Price $178.14 / $230.37 / $334.01	Professional		$178.14	$230.37	$334.01