Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $34.67 / $46.77	Facility	26	$12.02	$34.67	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $147.91	Professional		$64.57	$89.13	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $48.98	Professional	26	$10.96	$14.13	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $151.36	Professional		$69.18	$89.13	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $19.05 / $30.90	Professional	26	$14.79	$19.05	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $138.04	Professional		$100.00	$109.65	$138.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $17.38 / $26.30	Professional	26	$16.60	$17.38	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $208.93	Professional		$67.61	$104.71	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $20.89 / $38.90	Professional	26	$13.18	$20.89	$38.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $141.25 / $141.25	Facility	26	$109.65	$141.25	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $616.60	Professional		$72.44	$112.20	$616.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $21.38 / $162.18	Professional	26	$14.45	$21.38	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $162.18	Professional		$70.79	$93.33	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $17.38 / $28.18	Professional	26	$13.49	$17.38	$28.18