Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.05 / $86.85 / $206.46	Facility	26	$79.05	$86.85	$206.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.47 / $250.34 / $1,013.00	Professional		$153.47	$250.34	$1,013.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.05 / $114.42 / $386.08	Professional	26	$79.05	$114.42	$386.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $137.94 / $225.27	Professional		$126.78	$137.94	$225.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $115.05 / $154.47	Professional	26	$66.84	$115.05	$154.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.47 / $209.93 / $369.71	Professional		$169.47	$209.93	$369.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.28 / $119.90 / $183.60	Professional	26	$96.28	$119.90	$183.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.92 / $102.92 / $102.92	Facility	26	$102.92	$102.92	$102.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $237.67 / $386.56	Professional		$139.77	$237.67	$386.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.34 / $119.69 / $227.09	Professional	26	$76.34	$119.69	$227.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.26 / $404.21 / $404.21	Facility	26	$213.26	$404.21	$404.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.69 / $237.27 / $1,463.47	Professional		$175.69	$237.27	$1,463.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.30 / $117.97 / $605.95	Professional	26	$89.30	$117.97	$605.95
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $164.00 / $164.00 / $164.00	Professional	26	$164.00	$164.00	$164.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.37 / $212.32 / $357.04	Professional		$168.37	$212.32	$357.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.05 / $106.39 / $173.06	Professional	26	$87.05	$106.39	$173.06