Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.64 / $571.96 / $964.08	Facility	26	$104.64	$571.96	$964.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.26 / $104.26 / $645.37	Professional	26	$104.26	$104.26	$645.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $257.38 / $257.38 / $257.38	Professional	26	$257.38	$257.38	$257.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $190.41 / $203.52 / $208.61	Professional	26	$190.41	$203.52	$208.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $600.60 / $600.60 / $600.60	Facility	26	$600.60	$600.60	$600.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $201.00 / $245.90 / $307.37	Professional	26	$201.00	$245.90	$307.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $505.23 / $505.23 / $505.23	Facility	26	$505.23	$505.23	$505.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $135.60 / $217.74 / $680.84	Professional	26	$135.60	$217.74	$680.84
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $379.60 / $390.65 / $600.60	Facility	26	$379.60	$390.65	$600.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $133.99 / $217.74 / $279.14	Professional	26	$133.99	$217.74	$279.14