Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $70.79 / $158.49	Facility	26	$66.07	$70.79	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $380.19	Professional		$141.25	$173.78	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $85.11 / $316.23	Professional	26	$64.57	$85.11	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $83.18 / $104.71	Professional	26	$83.18	$83.18	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $275.42	Professional		$141.25	$173.78	$275.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $83.18 / $125.89	Professional	26	$64.57	$83.18	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $281.84	Professional		$165.96	$199.53	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $85.11 / $120.23	Professional	26	$70.79	$85.11	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $331.13	Professional		$147.91	$199.53	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $147.91	Professional	26	$67.61	$89.13	$147.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $302.00 / $302.00	Facility	26	$158.49	$302.00	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $977.24	Professional		$138.04	$213.80	$977.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $95.50 / $426.58	Professional	26	$64.57	$95.50	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $281.84	Professional		$128.82	$177.83	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $81.28 / $123.03	Professional	26	$57.54	$81.28	$123.03