Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.96 / $64.44 / $64.44	Facility	26	$63.96	$64.44	$64.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $144.50 / $191.02	Professional		$128.88	$144.50	$191.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $64.51 / $88.16	Professional	26	$61.35	$64.51	$88.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $144.93 / $289.49	Professional		$142.76	$144.93	$289.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.54 / $74.94 / $127.41	Professional	26	$64.54	$74.94	$127.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $147.00 / $201.85	Professional		$67.20	$147.00	$201.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $198.72 / $247.91	Professional		$153.51	$198.72	$247.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.76 / $91.03 / $115.22	Professional	26	$67.76	$91.03	$115.22
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 $134.79 / $178.11 / $982.06	Professional		$134.79	$178.11	$982.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.30 / $77.70 / $428.85	Professional	26	$58.30	$77.70	$428.85
United Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $166.84 / $264.70	Professional		$129.91	$166.84	$264.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.46 / $74.34 / $118.50	Professional	26	$57.46	$74.34	$118.50