Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $87.10	Facility	26	$83.18	$83.18	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $89.13 / $165.96	Professional	26	$81.28	$89.13	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $70.79 / $165.96	Professional	26	$70.79	$70.79	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $162.18 / $169.82	Professional	26	$151.36	$162.18	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $204.17 / $257.04	Professional	26	$165.96	$204.17	$257.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	26	$389.05	$389.05	$389.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $144.54 / $257.04	Professional	26	$93.33	$144.54	$257.04
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $194.98 / $213.80	Professional	26	$169.82	$194.98	$213.80
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $199.53 / $208.93	Professional	26	$199.53	$199.53	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $169.82 / $234.42	Professional	26	$93.33	$169.82	$234.42