Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $114.82 / $338.84	Facility	26	$77.62	$114.82	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $1,737.80	Professional		$251.19	$309.03	$1,737.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $83.18 / $204.17	Professional	26	$34.67	$83.18	$204.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $28.18 / $28.84	Professional	26	$28.18	$28.18	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $501.19	Professional		$457.09	$478.63	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $69.18 / $72.44	Professional	26	$64.57	$69.18	$72.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	26	$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $794.33	Professional		$501.19	$645.65	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $87.10 / $109.65	Professional	26	$70.79	$87.10	$109.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $1,778.28	Professional		$190.55	$446.68	$1,778.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $69.18 / $257.04	Professional	26	$45.71	$69.18	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $676.08	Professional		$501.19	$588.84	$676.08
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $81.28 / $91.20	Professional	26	$72.44	$81.28	$91.20
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	26	$208.93	$208.93	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $616.60	Professional		$588.84	$588.84	$616.60
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $89.13	Professional	26	$85.11	$85.11	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $512.86 / $724.44	Professional		$190.55	$512.86	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $72.44 / $97.72	Professional	26	$45.71	$72.44	$97.72