Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.92 / $74.73 / $76.75	Facility	26	$15.92	$74.73	$76.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $126.42 / $250.59	Professional		$105.29	$126.42	$250.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $69.20 / $148.51	Professional	26	$60.27	$69.20	$148.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $92.92 / $170.56	Professional		$92.92	$92.92	$170.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.48 / $68.87 / $68.87	Professional	26	$58.48	$68.87	$68.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.43 / $162.43 / $162.43	Professional		$162.43	$162.43	$162.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $171.00 / $354.64	Professional		$110.69	$171.00	$354.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.71 / $96.00 / $207.87	Professional	26	$63.71	$96.00	$207.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $149.97 / $149.97 / $149.97	Facility	26	$149.97	$149.97	$149.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $163.30 / $728.40	Professional		$130.36	$163.30	$728.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.76 / $92.26 / $414.32	Professional	26	$72.76	$92.26	$414.32
United Facility/Professional Professional Modifier Low / Median / High Price $124.15 / $153.81 / $289.58	Professional		$124.15	$153.81	$289.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.00 / $85.43 / $164.71	Professional	26	$70.00	$85.43	$164.71