Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $323.59 / $323.59	Facility	26	$141.25	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $436.52	Professional		$165.96	$204.17	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $389.05	Professional		$173.78	$288.40	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $489.78	Professional		$208.93	$389.05	$489.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $1,348.96	Professional		$245.47	$371.54	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $501.19	Professional		$371.54	$446.68	$501.19
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $288.40 / $323.59 / $398.11	Professional	26	$288.40	$323.59	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $457.09	Professional		$239.88	$407.38	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $489.78	Professional		$234.42	$354.81	$489.78