Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.37 / $24.59 / $28.98	Facility	26	$23.37	$24.59	$28.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.69 / $137.59 / $259.54	Professional		$120.69	$137.59	$259.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.79 / $24.58 / $51.47	Professional	26	$22.79	$24.58	$51.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $137.35 / $137.35	Professional		$137.35	$137.35	$137.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.08 / $21.08 / $23.26	Professional	26	$21.08	$21.08	$23.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.54 / $140.74 / $247.00	Professional		$118.54	$140.74	$247.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.50 / $26.66 / $46.78	Professional	26	$22.50	$26.66	$46.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.72 / $26.72 / $26.72	Facility	26	$26.72	$26.72	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.49 / $204.35 / $339.69	Professional		$139.49	$204.35	$339.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.21 / $34.33 / $58.00	Professional	26	$23.21	$34.33	$58.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $52.98 / $102.96 / $102.96	Facility	26	$52.98	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $199.58 / $845.52	Professional		$141.94	$199.58	$845.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.50 / $34.04 / $147.91	Professional	26	$23.50	$34.04	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $190.09 / $318.27	Professional		$140.06	$190.09	$318.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.22 / $31.73 / $55.32	Professional	26	$23.22	$31.73	$55.32