Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $158.49 / $213.80	Facility	26	$91.20	$158.49	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $316.23	Professional		$125.89	$158.49	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $91.20 / $213.80	Professional	26	$69.18	$91.20	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $91.20 / $128.82	Professional	26	$69.18	$91.20	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $870.96	Professional		$154.88	$199.53	$870.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $109.65 / $181.97	Professional	26	$87.10	$109.65	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $257.04	Professional		$165.96	$173.78	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $102.33 / $134.90	Professional	26	$97.72	$102.33	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $575.44	Professional		$134.90	$245.47	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $123.03 / $229.09	Professional	26	$77.62	$123.03	$229.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $416.87 / $416.87	Facility	26	$218.78	$416.87	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $3,388.44	Professional		$165.96	$323.59	$3,388.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $134.90 / $630.96	Professional	26	$89.13	$134.90	$630.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $588.84	Professional		$154.88	$213.80	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $104.71 / $169.82	Professional	26	$89.13	$104.71	$169.82