Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $157.63 / $218.81 / $420.12	Facility	26	$157.63	$218.81	$420.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $247.14 / $646.00	Professional	26	$90.00	$247.14	$646.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $91.62 / $107.79 / $150.91	Professional	26	$91.62	$107.79	$150.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.12 / $145.49 / $704.71	Professional	26	$109.12	$145.49	$704.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.61 / $150.30 / $241.68	Professional	26	$78.61	$150.30	$241.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $822.88 / $1,053.11 / $1,053.11	Facility	26	$822.88	$1,053.11	$1,053.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $100.67 / $114.14 / $1,192.32	Professional	26	$100.67	$114.14	$1,192.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.67 / $104.92 / $225.02	Professional	26	$100.67	$104.92	$225.02