Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.95 / $66.04 / $82.45	Facility	26	$57.95	$66.04	$82.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.60 / $355.59 / $637.55	Professional		$311.60	$355.59	$637.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.96 / $59.44 / $227.00	Professional	26	$50.96	$59.44	$227.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.91 / $79.01 / $84.71	Professional	26	$63.91	$79.01	$84.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.79 / $310.39 / $530.42	Professional		$209.79	$310.39	$530.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.22 / $66.09 / $97.73	Professional	26	$53.22	$66.09	$97.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.54 / $428.71 / $747.28	Professional		$280.54	$428.71	$747.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.66 / $78.41 / $124.30	Professional	26	$55.66	$78.41	$124.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $251.32 / $251.32	Facility	26	$128.97	$251.32	$251.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.88 / $433.89 / $2,222.29	Professional		$265.88	$433.89	$2,222.29
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.27 / $85.38 / $774.69	Professional	26	$53.27	$85.38	$774.69
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $90.86 / $90.86 / $90.86	Professional	26	$90.86	$90.86	$90.86
United Facility/Professional Professional Modifier Low / Median / High Price $255.80 / $387.83 / $780.51	Professional		$255.80	$387.83	$780.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.49 / $75.52 / $126.33	Professional	26	$51.49	$75.52	$126.33