Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.51 / $18.51 / $18.51	Facility	26	$18.51	$18.51	$18.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $72.34 / $328.00	Professional		$56.50	$72.34	$328.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $20.14 / $93.48	Professional	26	$18.07	$20.14	$93.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.13 / $43.13 / $43.13	Professional	26	$43.13	$43.13	$43.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $115.53 / $157.34	Professional		$69.23	$115.53	$157.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.71 / $29.89 / $40.27	Professional	26	$17.71	$29.89	$40.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $155.63 / $194.54	Professional		$72.42	$155.63	$194.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $39.08 / $48.85	Professional	26	$25.05	$39.08	$48.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $44.37 / $100.00 / $100.00	Facility	26	$44.37	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $144.57 / $191.90	Professional		$71.20	$144.57	$191.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.64 / $38.72 / $55.55	Professional	26	$30.64	$38.72	$55.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $146.51 / $191.72	Professional		$82.28	$146.51	$191.72
United Facility/Professional Professional Modifier Low / Median / High Price $89.52 / $144.57 / $189.82	Professional		$89.52	$144.57	$189.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.64 / $41.75 / $47.49	Professional	26	$30.64	$41.75	$47.49