Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.43 / $133.52 / $231.86	Facility	26	$91.43	$133.52	$231.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.43 / $100.00 / $600.96	Professional	26	$91.43	$100.00	$600.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.30 / $122.16 / $205.43	Professional	26	$105.30	$122.16	$205.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.98 / $149.12 / $208.85	Professional	26	$88.98	$149.12	$208.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $734.80 / $945.52 / $945.52	Facility	26	$734.80	$945.52	$945.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.27 / $129.66 / $1,192.32	Professional	26	$94.27	$129.66	$1,192.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.27 / $127.11 / $217.26	Professional	26	$94.27	$127.11	$217.26