Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.98 / $26.19 / $33.86	Facility	26	$12.98	$26.19	$33.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $94.00 / $109.50	Professional		$77.31	$94.00	$109.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.45 / $14.27 / $20.07	Professional	26	$12.45	$14.27	$20.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $91.24 / $143.63	Professional		$68.54	$91.24	$143.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $19.73 / $32.34	Professional	26	$14.69	$19.73	$32.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $105.39 / $201.74	Professional		$67.39	$105.39	$201.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $21.17 / $32.39	Professional	26	$12.79	$21.17	$32.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $141.91 / $141.91	Facility	26	$110.00	$141.91	$141.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $110.42 / $611.40	Professional		$76.16	$110.42	$611.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $20.60 / $163.46	Professional	26	$14.79	$20.60	$163.46
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $98.63 / $170.73	Professional		$73.81	$98.63	$170.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $18.45 / $30.08	Professional	26	$14.40	$18.45	$30.08