Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.23 / $125.69 / $187.85	Facility	26	$125.23	$125.69	$187.85
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $50.41 / $55.55 / $98.96	Facility	53	$50.41	$55.55	$98.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.41 / $315.19 / $826.78	Professional		$244.41	$315.19	$826.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.98 / $129.41 / $528.08	Professional	26	$97.98	$129.41	$528.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $203.06 / $203.06	Professional		$203.06	$203.06	$203.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $111.23 / $134.65 / $164.41	Professional	26	$111.23	$134.65	$164.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.67 / $346.09 / $550.97	Professional		$249.67	$346.09	$550.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.59 / $148.34 / $229.42	Professional	26	$112.59	$148.34	$229.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.36 / $120.36 / $120.36	Facility	26	$120.36	$120.36	$120.36
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.64 / $52.64 / $52.64	Facility	53	$52.64	$52.64	$52.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.38 / $366.75 / $672.21	Professional		$234.38	$366.75	$672.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.46 / $155.40 / $270.94	Professional	26	$107.46	$155.40	$270.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $760.56 / $985.36 / $985.36	Facility	26	$760.56	$985.36	$985.36
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $97.84 / $228.96 / $228.96	Facility	53	$97.84	$228.96	$228.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $470.43 / $1,920.39	Professional		$251.18	$470.43	$1,920.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $112.60 / $192.30 / $1,030.27	Professional	26	$112.60	$192.30	$1,030.27
United Facility/Professional Professional Modifier Low / Median / High Price $245.81 / $372.73 / $602.01	Professional		$245.81	$372.73	$602.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.22 / $168.90 / $273.86	Professional	26	$109.22	$168.90	$273.86