Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $11.48 / $20.89	Facility		$3.09	$11.48	$20.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $87.10 / $87.10	Facility	26	$69.18	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $44.67 / $102.33	Professional		$12.02	$44.67	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $46.77 / $109.65	Professional	26	$15.85	$46.77	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $63.10	Professional	26	$63.10	$63.10	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $5.62 / $8.32	Facility		$1.74	$5.62	$8.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $77.62	Professional		$38.90	$40.74	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $38.02 / $72.44	Professional	26	$36.31	$38.02	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $8.13 / $13.18	Facility		$2.95	$8.13	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $54.95 / $93.33	Facility		$39.81	$54.95	$93.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $223.87	Facility	26	$87.10	$87.10	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.44 / $302.00	Professional		$17.78	$23.44	$302.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $23.44 / $281.84	Professional	26	$17.78	$23.44	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $3.63	Facility		$2.82	$2.82	$3.63
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $54.95	Professional		$16.98	$20.42	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.42 / $51.29	Professional	26	$16.98	$20.42	$51.29