Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $218.78 / $478.63	Facility	26	$114.82	$218.78	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $1,023.29	Professional		$275.42	$549.54	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $97.72 / $173.78	Professional	26	$61.66	$97.72	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Professional	26	$102.33	$102.33	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $851.14	Professional		$426.58	$524.81	$851.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $93.33 / $141.25	Professional	26	$72.44	$93.33	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $724.44	Professional		$446.68	$467.74	$724.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $79.43 / $123.03	Professional	26	$75.86	$79.43	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $933.25	Professional		$346.74	$512.86	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $151.36	Professional	26	$60.26	$85.11	$151.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $660.69 / $660.69	Facility	26	$512.86	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $2,754.23	Professional		$407.38	$537.03	$2,754.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $436.52	Professional	26	$67.61	$89.13	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $812.83	Professional		$398.11	$501.19	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $83.18 / $131.83	Professional	26	$67.61	$83.18	$131.83