Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $237.03 / $446.37 / $446.37	Facility	26	$237.03	$446.37	$446.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.74 / $981.75 / $4,248.00	Professional		$878.74	$981.75	$4,248.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $215.49 / $261.11 / $1,042.00	Professional	26	$215.49	$261.11	$1,042.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $855.92 / $855.92 / $855.92	Professional		$855.92	$855.92	$855.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $197.90 / $230.88 / $453.19	Professional	26	$197.90	$230.88	$453.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.45 / $863.26 / $1,079.08	Professional		$647.45	$863.26	$1,079.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $173.02 / $230.70 / $288.37	Professional	26	$173.02	$230.70	$288.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.13 / $1,054.26 / $1,617.34	Professional		$904.13	$1,054.26	$1,617.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $242.53 / $300.01 / $434.50	Professional	26	$242.53	$300.01	$434.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,718.00 / $1,718.00 / $2,151.76	Facility	26	$1,718.00	$1,718.00	$2,151.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $849.08 / $1,012.83 / $2,092.05	Professional		$849.08	$1,012.83	$2,092.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $288.60 / $604.19	Professional	26	$229.09	$288.60	$604.19
United Facility/Professional Professional Modifier Low / Median / High Price $828.64 / $977.74 / $1,466.60	Professional		$828.64	$977.74	$1,466.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $277.92 / $458.63	Professional	26	$229.09	$277.92	$458.63