Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $398.11 / $549.54	Facility	26	$223.87	$398.11	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $223.87 / $537.03	Professional	26	$109.65	$223.87	$537.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $107.15 / $186.21	Professional	26	$85.11	$107.15	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $549.54	Professional	26	$112.20	$112.20	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $154.88 / $251.19	Professional	26	$79.43	$154.88	$251.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $831.76 / $1,071.52 / $1,071.52	Facility	26	$831.76	$1,071.52	$1,071.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $123.03 / $1,202.26	Professional	26	$102.33	$123.03	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $104.71 / $229.09	Professional	26	$102.33	$104.71	$229.09