Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.87 / $333.46 / $562.07	Facility	26	$62.87	$333.46	$562.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.45 / $321.45 / $2,171.67	Professional		$321.45	$321.45	$2,171.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.87 / $71.40 / $386.10	Professional	26	$62.87	$71.40	$386.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $125.15 / $125.15 / $125.15	Professional	26	$125.15	$125.15	$125.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.27 / $621.32 / $636.85	Professional		$581.27	$621.32	$636.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.66 / $122.56 / $125.62	Professional	26	$114.66	$122.56	$125.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $361.68 / $361.68 / $361.68	Facility	26	$361.68	$361.68	$361.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.52 / $781.91 / $977.38	Professional		$629.52	$781.91	$977.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.18 / $147.38 / $184.23	Professional	26	$124.18	$147.38	$184.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $295.52 / $295.52 / $295.52	Facility	26	$295.52	$295.52	$295.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $379.11 / $675.05 / $986.19	Professional		$379.11	$675.05	$986.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.40 / $130.26 / $191.61	Professional	26	$81.40	$130.26	$191.61
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $211.42 / $217.58 / $361.68	Facility	26	$211.42	$217.58	$361.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $458.30 / $731.41 / $955.74	Professional		$458.30	$731.41	$955.74
United Facility/Professional Professional Modifier Low / Median / High Price $416.17 / $675.05 / $867.03	Professional		$416.17	$675.05	$867.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.40 / $128.72 / $167.00	Professional	26	$81.40	$128.72	$167.00