Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $288.40 / $891.25	Facility	26	$204.17	$288.40	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $91.20 / $537.03	Professional	26	$81.28	$91.20	$537.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $165.96 / $177.83	Professional	26	$158.49	$165.96	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $208.93 / $263.03	Professional	26	$173.78	$208.93	$263.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	26	$851.14	$851.14	$851.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $173.78 / $1,479.11	Professional	26	$109.65	$173.78	$1,479.11
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $199.53 / $223.87	Professional	26	$177.83	$199.53	$223.87
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $204.17 / $204.17 / $218.78	Professional	26	$204.17	$204.17	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $173.78 / $239.88	Professional	26	$107.15	$173.78	$239.88