Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $87.10 / $131.83	Facility	26	$54.95	$87.10	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $158.49	Professional		$66.07	$85.11	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $47.86 / $104.71	Professional	26	$39.81	$47.86	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $154.88	Professional		$69.18	$112.20	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $61.66 / $85.11	Professional	26	$38.02	$61.66	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $177.83	Professional		$79.43	$144.54	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $87.10 / $107.15	Professional	26	$51.29	$87.10	$107.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $186.21 / $186.21	Facility	26	$95.50	$186.21	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $489.78	Professional		$89.13	$134.90	$489.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $263.03	Professional	26	$54.95	$83.18	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $177.83	Professional		$128.82	$147.91	$177.83
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $85.11 / $102.33	Professional	26	$77.62	$85.11	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $177.83	Professional		$79.43	$169.82	$177.83
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $93.33 / $102.33	Professional	26	$53.70	$93.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $181.97	Professional		$89.13	$138.04	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $85.11 / $112.20	Professional	26	$54.95	$85.11	$112.20