Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $288.40	Professional		$138.04	$165.96	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $72.44 / $177.83	Professional	26	$61.66	$72.44	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $199.53	Professional		$144.54	$158.49	$199.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $77.62 / $131.83	Professional	26	$67.61	$77.62	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $204.17	Professional		$67.61	$147.91	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $251.19	Professional		$154.88	$194.98	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $91.20 / $114.82	Professional	26	$69.18	$91.20	$114.82
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 $134.90 / $177.83 / $977.24	Professional		$134.90	$177.83	$977.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $426.58	Professional	26	$58.88	$81.28	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $257.04	Professional		$128.82	$162.18	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $72.44 / $109.65	Professional	26	$57.54	$72.44	$109.65