Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.11 / $97.86 / $156.94	Facility	26	$88.11	$97.86	$156.94
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.90 / $34.86 / $38.10	Facility	53	$25.90	$34.86	$38.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $222.48 / $363.47	Professional		$190.49	$222.48	$363.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.10 / $103.82 / $156.94	Professional	26	$88.10	$103.82	$156.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $117.42 / $117.42 / $117.42	Professional	26	$117.42	$117.42	$117.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $232.05 / $318.64	Professional		$114.52	$232.05	$318.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.96 / $142.96 / $165.15	Facility	26	$142.96	$142.96	$165.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $328.94 / $468.37	Professional		$248.77	$328.94	$468.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.51 / $147.38 / $177.93	Professional	26	$113.51	$147.38	$177.93
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 $228.96 / $228.96 / $228.96	Facility	53	$228.96	$228.96	$228.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.06 / $329.13 / $1,920.39	Professional		$226.06	$329.13	$1,920.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $97.97 / $136.30 / $1,030.27	Professional	26	$97.97	$136.30	$1,030.27
United Facility/Professional Professional Modifier Low / Median / High Price $200.94 / $280.36 / $439.37	Professional		$200.94	$280.36	$439.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.71 / $118.23 / $178.25	Professional	26	$95.71	$118.23	$178.25