Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $467.74 / $467.74	Facility	26	$446.68	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $4,265.80	Professional		$912.01	$1,513.56	$4,265.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $446.68 / $1,000.00	Professional	26	$208.93	$446.68	$1,000.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $204.17 / $269.15 / $436.52	Professional	26	$204.17	$269.15	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,778.28	Professional		$794.33	$1,288.25	$1,778.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $331.13 / $457.09	Professional	26	$199.53	$331.13	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $2,290.87	Professional		$1,023.29	$1,862.09	$2,290.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $295.12 / $457.09 / $602.56	Professional	26	$295.12	$457.09	$602.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	26	$2,137.96	$2,137.96	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,344.23	Professional		$1,096.48	$1,698.24	$2,344.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $316.23 / $489.78 / $691.83	Professional	26	$316.23	$489.78	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,137.96	Professional		$1,659.59	$1,995.26	$2,137.96
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $457.09 / $501.19 / $602.56	Professional	26	$457.09	$501.19	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Professional	26	$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,238.72	Professional		$1,174.90	$1,737.80	$2,238.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $316.23 / $467.74 / $588.84	Professional	26	$316.23	$467.74	$588.84