Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.17 / $65.17 / $65.17	Facility	26	$65.17	$65.17	$65.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $114.76 / $277.43	Professional		$100.68	$114.76	$277.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $62.22 / $101.60	Professional	26	$55.30	$62.22	$101.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $173.07 / $216.18	Professional		$104.89	$173.07	$216.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.72 / $61.72 / $61.72	Professional	26	$61.72	$61.72	$61.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $98.91 / $123.64	Professional		$74.18	$98.91	$123.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.71 / $55.62 / $69.52	Professional	26	$41.71	$55.62	$69.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.17 / $74.17 / $74.17	Facility	26	$74.17	$74.17	$74.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $140.52 / $251.80	Professional		$92.15	$140.52	$251.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.80 / $90.07 / $148.06	Professional	26	$63.80	$90.07	$148.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $149.97 / $292.17 / $292.17	Facility	26	$149.97	$292.17	$292.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $137.19 / $728.40	Professional		$106.33	$137.19	$728.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.52 / $76.40 / $414.32	Professional	26	$59.52	$76.40	$414.32
United Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $123.84 / $246.96	Professional		$103.85	$123.84	$246.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.22 / $70.67 / $137.88	Professional	26	$59.22	$70.67	$137.88