Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.72 / $129.72 / $129.72	Facility	26	$129.72	$129.72	$129.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $164.25 / $256.79	Professional		$141.78	$164.25	$256.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $69.81 / $198.13	Professional	26	$61.35	$69.81	$198.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.62 / $83.08 / $89.47	Professional	26	$58.62	$83.08	$89.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.99 / $141.81 / $161.31	Professional		$116.99	$141.81	$161.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.23 / $60.89 / $69.26	Professional	26	$50.23	$60.89	$69.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.55 / $180.50 / $329.35	Professional		$145.55	$180.50	$329.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $79.30 / $140.25	Professional	26	$62.78	$79.30	$140.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $157.36 / $302.75 / $302.75	Facility	26	$157.36	$302.75	$302.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.49 / $176.30 / $982.06	Professional		$139.49	$176.30	$982.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.76 / $76.05 / $428.85	Professional	26	$60.76	$76.05	$428.85
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $163.54 / $297.81	Professional		$138.04	$163.54	$297.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.51 / $71.42 / $126.02	Professional	26	$59.51	$71.42	$126.02