Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.46 / $36.36 / $63.73	Facility	26	$26.46	$36.36	$63.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $124.81 / $176.13	Professional		$110.97	$124.81	$176.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.66 / $29.07 / $70.94	Professional	26	$24.66	$29.07	$70.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.97 / $23.97 / $23.97	Professional	26	$23.97	$23.97	$23.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $144.18 / $234.01	Professional		$114.60	$144.18	$234.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.40 / $35.10 / $56.64	Professional	26	$28.40	$35.10	$56.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $171.90 / $216.27 / $351.01	Professional	50	$171.90	$216.27	$351.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	26	$34.86	$34.86	$34.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.29 / $166.80 / $283.11	Professional		$88.29	$166.80	$283.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.35 / $38.95 / $61.51	Professional	26	$24.35	$38.95	$61.51
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.71 / $164.71 / $164.71	Professional	50	$164.71	$164.71	$164.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $69.97 / $137.78 / $137.78	Facility	26	$69.97	$137.78	$137.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $181.36 / $963.76	Professional		$124.86	$181.36	$963.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.84 / $39.61 / $236.11	Professional	26	$27.84	$39.61	$236.11
United Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $149.16 / $241.20	Professional		$118.02	$149.16	$241.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.35 / $33.06 / $56.22	Professional	26	$27.35	$33.06	$56.22