Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.04 / $56.04 / $152.80	Facility	26	$56.04	$56.04	$152.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.91 / $341.97 / $637.55	Professional		$268.91	$341.97	$637.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.26 / $55.59 / $141.69	Professional	26	$46.26	$55.59	$141.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $329.18 / $345.64 / $427.93	Professional		$329.18	$345.64	$427.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.72 / $66.34 / $109.38	Professional	26	$55.72	$66.34	$109.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.19 / $285.58 / $356.99	Professional		$214.19	$285.58	$356.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.17 / $45.56 / $56.95	Professional	26	$34.17	$45.56	$56.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.14 / $388.51 / $713.25	Professional		$238.14	$388.51	$713.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.81 / $73.23 / $126.52	Professional	26	$49.81	$73.23	$126.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $251.32 / $251.32	Facility	26	$128.97	$251.32	$251.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.42 / $353.02 / $2,222.29	Professional		$231.42	$353.02	$2,222.29
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.20 / $62.58 / $774.69	Professional	26	$49.20	$62.58	$774.69
United Facility/Professional Professional Modifier Low / Median / High Price $228.20 / $334.44 / $612.73	Professional		$228.20	$334.44	$612.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $57.24 / $108.54	Professional	26	$48.65	$57.24	$108.54