Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.37 / $47.24 / $87.53	Facility	26	$28.37	$47.24	$87.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.70 / $117.67 / $300.10	Professional		$101.70	$117.67	$300.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $37.07 / $106.15	Professional	26	$21.42	$37.07	$106.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $85.90 / $95.35	Professional		$85.90	$85.90	$95.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $42.62 / $57.14	Professional	26	$28.41	$42.62	$57.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $124.77 / $201.07	Professional		$101.41	$124.77	$201.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.30 / $33.06 / $63.36	Professional	26	$23.30	$33.06	$63.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $139.19 / $242.25	Professional		$86.52	$139.19	$242.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.82 / $37.15 / $75.55	Professional	26	$21.82	$37.15	$75.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $172.60 / $172.60	Facility	26	$90.38	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $146.90 / $810.58	Professional		$98.87	$146.90	$810.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.43 / $48.02 / $242.65	Professional	26	$24.43	$48.02	$242.65
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $69.51 / $69.51 / $69.51	Professional	26	$69.51	$69.51	$69.51
United Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $130.61 / $227.79	Professional		$96.54	$130.61	$227.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.95 / $43.44 / $72.95	Professional	26	$23.95	$43.44	$72.95