Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.29 / $181.62 / $210.40	Facility	26	$150.29	$181.62	$210.40
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.71 / $66.66 / $79.34	Facility	53	$42.71	$66.66	$79.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.86 / $352.88 / $410.06	Professional		$222.86	$352.88	$410.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.60 / $125.24 / $187.75	Professional	26	$97.60	$125.24	$187.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $90.77 / $112.24 / $126.88	Professional	26	$90.77	$112.24	$126.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.30 / $428.30 / $428.30	Professional		$428.30	$428.30	$428.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.38 / $378.45 / $566.00	Professional		$234.38	$378.45	$566.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.52 / $159.59 / $260.00	Professional	26	$109.52	$159.59	$260.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $760.56 / $760.56 / $985.36	Facility	26	$760.56	$760.56	$985.36
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $228.96 / $228.96 / $228.96	Facility	53	$228.96	$228.96	$228.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $394.57 / $1,920.39	Professional		$251.18	$394.57	$1,920.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $112.60 / $161.62 / $1,030.27	Professional	26	$112.60	$161.62	$1,030.27
United Facility/Professional Professional Modifier Low / Median / High Price $249.27 / $347.02 / $473.01	Professional		$249.27	$347.02	$473.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.60 / $149.27 / $200.94	Professional	26	$112.60	$149.27	$200.94