Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $112.20 / $112.20	Facility	26	$89.13	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $269.15	Professional		$138.04	$169.82	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $75.86 / $257.04	Professional	26	$61.66	$75.86	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $104.71 / $123.03	Professional	26	$83.18	$104.71	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $363.08	Professional		$147.91	$204.17	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $91.20 / $181.97	Professional	26	$66.07	$91.20	$181.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $302.00	Facility	26	$158.49	$158.49	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $977.24	Professional		$154.88	$213.80	$977.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $95.50 / $426.58	Professional	26	$69.18	$95.50	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $281.84	Professional		$154.88	$190.55	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $87.10 / $125.89	Professional	26	$67.61	$87.10	$125.89