Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $46.77	Facility		$5.50	$5.50	$46.77
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $53.70 / $165.96	Facility	26	$44.67	$53.70	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $48.98 / $338.84	Professional		$18.20	$48.98	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $44.67 / $102.33	Professional	26	$38.90	$44.67	$102.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	26	$44.67	$44.67	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,715.35	Facility		$1,445.44	$1,905.46	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $77.62	Professional		$67.61	$72.44	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $69.18 / $72.44	Professional	26	$63.10	$69.18	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $112.20	Professional		$43.65	$67.61	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $58.88 / $104.71	Professional	26	$30.20	$58.88	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $41.69 / $239.88	Facility		$28.84	$41.69	$239.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	26	$223.87	$223.87	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $125.89	Professional		$23.44	$35.48	$125.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $35.48 / $117.49	Professional	26	$23.44	$35.48	$117.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $117.49	Professional		$70.79	$70.79	$117.49
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $66.07 / $109.65	Professional	26	$30.20	$66.07	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $117.49	Professional		$81.28	$112.20	$117.49
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $104.71 / $109.65	Professional	26	$75.86	$104.71	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.09 / $11.75	Facility		$1.86	$3.09	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $36.31 / $107.15	Professional		$23.44	$36.31	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $36.31 / $100.00	Professional	26	$23.44	$36.31	$100.00