Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $39.81 / $85.11	Facility		$6.03	$39.81	$85.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $74.13 / $79.43	Facility	26	$44.67	$74.13	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $48.98 / $64.57	Professional		$16.98	$48.98	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $44.67 / $60.26	Professional	26	$18.20	$44.67	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Professional	26	$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $6.03 / $22.91	Facility		$2.95	$6.03	$22.91
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 $19.95 / $46.77 / $74.13	Facility		$19.95	$46.77	$74.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $302.00	Professional		$19.05	$24.55	$302.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $24.55 / $281.84	Professional	26	$19.05	$24.55	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $3.63 / $11.22	Facility		$1.05	$3.63	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $46.77	Professional		$19.05	$23.99	$46.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.99 / $46.77	Professional	26	$19.05	$23.99	$46.77