Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $141.25 / $144.54	Facility	26	$138.04	$141.25	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $346.74	Professional		$141.25	$169.82	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $295.12	Professional	26	$64.57	$79.43	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $288.40	Professional		$144.54	$199.53	$288.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $117.49 / $151.36	Professional	26	$117.49	$117.49	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $316.23	Professional		$138.04	$229.09	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $138.04	Professional	26	$61.66	$100.00	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $416.87	Professional		$169.82	$309.03	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $138.04 / $177.83	Professional	26	$75.86	$138.04	$177.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $302.00 / $302.00	Facility	26	$158.49	$302.00	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $977.24	Professional		$169.82	$295.12	$977.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $134.90 / $426.58	Professional	26	$91.20	$134.90	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $380.19	Professional		$288.40	$331.13	$380.19
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $144.54 / $169.82	Professional	26	$128.82	$144.54	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $363.08	Professional		$199.53	$275.42	$363.08
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $123.03 / $158.49	Professional	26	$85.11	$123.03	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $363.08	Professional		$162.18	$269.15	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $123.03 / $162.18	Professional	26	$72.44	$123.03	$162.18