Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $136.69 / $260.05	Facility	26	$100.00	$136.69	$260.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $159.72 / $536.36	Professional	26	$100.00	$159.72	$536.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $95.40 / $142.22 / $170.10	Professional	26	$95.40	$142.22	$170.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.27 / $138.34 / $232.79	Professional	26	$119.27	$138.34	$232.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.67 / $168.56 / $236.70	Professional	26	$99.67	$168.56	$236.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $827.12 / $1,063.59 / $1,063.59	Facility	26	$827.12	$1,063.59	$1,063.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.94 / $143.65 / $1,192.32	Professional	26	$104.94	$143.65	$1,192.32
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $207.94 / $207.94 / $207.94	Professional	26	$207.94	$207.94	$207.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.30 / $142.76 / $252.50	Professional	26	$104.30	$142.76	$252.50