Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $275.42 / $851.14	Facility	26	$194.98	$275.42	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $91.20 / $524.81	Professional	26	$79.43	$91.20	$524.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $131.83 / $131.83	Professional	26	$131.83	$131.83	$131.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $162.18 / $173.78	Professional	26	$154.88	$162.18	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	26	$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $208.93 / $257.04	Professional	26	$169.82	$208.93	$257.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $831.76 / $831.76 / $831.76	Facility	26	$831.76	$831.76	$831.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $165.96 / $1,202.26	Professional	26	$109.65	$165.96	$1,202.26
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $194.98 / $213.80	Professional	26	$173.78	$194.98	$213.80
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	26	$501.19	$501.19	$501.19
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $199.53 / $213.80	Professional	26	$199.53	$199.53	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $173.78 / $234.42	Professional	26	$102.33	$173.78	$234.42