Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $3.64 / $13.80	Facility		$3.08	$3.64	$13.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.65 / $66.65 / $87.20	Facility	26	$66.65	$66.65	$87.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $40.18 / $77.23	Professional		$15.66	$40.18	$77.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $37.50 / $90.87	Professional	26	$15.66	$37.50	$90.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.84 / $42.84 / $61.04	Professional	26	$42.84	$42.84	$61.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $7.20 / $11.41	Facility		$1.90	$7.20	$11.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $38.88 / $188.33	Professional		$26.73	$38.88	$188.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.93 / $36.26 / $175.62	Professional	26	$24.93	$36.26	$175.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $7.99 / $12.00	Facility		$4.75	$7.99	$12.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $51.39 / $93.54	Facility		$40.18	$51.39	$93.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.68 / $87.68 / $223.26	Facility	26	$87.68	$87.68	$223.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $23.11 / $302.45	Professional		$17.61	$23.11	$302.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $23.10 / $283.52	Professional	26	$17.60	$23.10	$283.52
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $20.91 / $44.87	Professional		$17.50	$20.91	$44.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $20.35 / $41.79	Professional	26	$17.05	$20.35	$41.79