Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.75 / $370.40 / $999.50	Facility	26	$108.75	$370.40	$999.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.24 / $275.80 / $646.00	Professional	26	$105.24	$275.80	$646.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $116.63 / $217.66 / $253.72	Professional	26	$116.63	$217.66	$253.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $198.59 / $212.28 / $217.59	Professional	26	$198.59	$212.28	$217.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $626.46 / $626.46 / $626.46	Facility	26	$626.46	$626.46	$626.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $215.08 / $256.76 / $324.33	Professional	26	$215.08	$256.76	$324.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,053.11 / $1,053.11 / $1,053.11	Facility	26	$1,053.11	$1,053.11	$1,053.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $139.81 / $227.19 / $336.95	Professional	26	$139.81	$227.19	$336.95
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $376.57 / $387.54 / $626.46	Facility	26	$376.57	$387.54	$626.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $139.81 / $224.51 / $291.27	Professional	26	$139.81	$224.51	$291.27