Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.29 / $53.52 / $61.12	Facility	26	$49.29	$53.52	$61.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $115.67 / $262.00	Professional		$90.20	$115.67	$262.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.47 / $115.50 / $173.29	Professional		$86.47	$115.50	$173.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $134.41 / $247.56	Professional		$90.83	$134.41	$247.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $115.42 / $225.58 / $225.58	Facility	26	$115.42	$225.58	$225.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $159.50 / $803.29	Professional		$91.21	$159.50	$803.29
United Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $143.22 / $254.81	Professional		$91.08	$143.22	$254.81