Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.62 / $29.26 / $52.29	Facility	26	$20.62	$29.26	$52.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $128.25 / $148.41	Professional		$109.01	$128.25	$148.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $22.66 / $52.18	Professional	26	$19.78	$22.66	$52.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $16.94 / $16.94	Professional	26	$16.80	$16.94	$16.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $133.40 / $220.80	Professional		$107.11	$133.40	$220.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.33 / $31.30 / $50.70	Professional	26	$24.33	$31.30	$50.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $26.63	Facility	26	$26.63	$26.63	$26.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $146.35 / $266.01	Professional		$94.23	$146.35	$266.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $33.11 / $50.13	Professional	26	$20.30	$33.11	$50.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $54.18 / $110.00 / $110.00	Facility	26	$54.18	$110.00	$110.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.96 / $155.90 / $893.01	Professional		$109.96	$155.90	$893.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.98 / $33.38 / $188.00	Professional	26	$23.98	$33.38	$188.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $137.63 / $240.46	Professional		$108.65	$137.63	$240.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $28.52 / $47.31	Professional	26	$23.40	$28.52	$47.31