Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $157.63 / $202.95 / $422.45	Facility	26	$157.63	$202.95	$422.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.38 / $75.75 / $188.43	Facility	53	$36.38	$75.75	$188.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.86 / $337.47 / $526.24	Professional		$216.86	$337.47	$526.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.63 / $116.15 / $560.00	Professional	26	$95.63	$116.15	$560.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.98 / $102.65 / $139.97	Professional	26	$84.98	$102.65	$139.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $233.65 / $292.06	Professional		$175.24	$233.65	$292.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.56 / $104.74 / $130.93	Professional	26	$78.56	$104.74	$130.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.36 / $120.36 / $120.36	Facility	26	$120.36	$120.36	$120.36
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.64 / $52.64 / $52.64	Facility	53	$52.64	$52.64	$52.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.88 / $341.84 / $530.86	Professional		$246.88	$341.84	$530.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.95 / $132.03 / $238.20	Professional	26	$103.95	$132.03	$238.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $760.56 / $985.36 / $985.36	Facility	26	$760.56	$985.36	$985.36
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $97.84 / $228.96 / $228.96	Facility	53	$97.84	$228.96	$228.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.64 / $343.14 / $1,920.39	Professional		$236.64	$343.14	$1,920.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $99.84 / $130.91 / $1,030.27	Professional	26	$99.84	$130.91	$1,030.27
United Facility/Professional Professional Modifier Low / Median / High Price $229.68 / $314.33 / $541.79	Professional		$229.68	$314.33	$541.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.87 / $118.56 / $206.48	Professional	26	$95.87	$118.56	$206.48