Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $135.72 / $238.73	Facility	26	$100.00	$135.72	$238.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $182.31 / $586.96	Professional	26	$100.00	$182.31	$586.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $94.80 / $141.34 / $161.06	Professional	26	$94.80	$141.34	$161.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.73 / $136.13 / $226.94	Professional	26	$117.73	$136.13	$226.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.73 / $166.61 / $233.67	Professional	26	$98.73	$166.61	$233.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $822.88 / $1,053.11 / $1,053.11	Facility	26	$822.88	$1,053.11	$1,053.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $103.72 / $143.47 / $1,192.32	Professional	26	$103.72	$143.47	$1,192.32
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $205.85 / $205.85 / $205.85	Professional	26	$205.85	$205.85	$205.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.38 / $142.13 / $258.08	Professional	26	$103.38	$142.13	$258.08