Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.48 / $70.01 / $159.91	Facility	26	$66.48	$70.01	$159.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $165.37 / $361.21	Professional		$145.22	$165.37	$361.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.51 / $72.34 / $198.13	Professional	26	$64.51	$72.34	$198.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $133.15 / $133.15	Professional		$133.15	$133.15	$133.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $105.32 / $105.32 / $105.32	Professional	26	$105.32	$105.32	$105.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $173.30 / $271.20	Professional		$132.19	$173.30	$271.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.76 / $83.00 / $121.98	Professional	26	$63.76	$83.00	$121.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $202.96 / $335.60	Professional		$147.44	$202.96	$335.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.03 / $91.15 / $148.63	Professional	26	$66.03	$91.15	$148.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $157.36 / $302.75 / $302.75	Facility	26	$157.36	$302.75	$302.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $212.30 / $982.06	Professional		$138.04	$212.30	$982.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.67 / $94.66 / $428.85	Professional	26	$62.67	$94.66	$428.85
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $209.35 / $209.35 / $209.35	Professional		$209.35	$209.35	$209.35
United Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $191.81 / $329.78	Professional		$130.37	$191.81	$329.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.08 / $86.77 / $151.44	Professional	26	$58.08	$86.77	$151.44