Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.96 / $67.43 / $107.30	Facility	26	$63.96	$67.43	$107.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.89 / $122.17 / $337.00	Professional		$105.89	$122.17	$337.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $67.48 / $156.21	Professional	26	$60.27	$67.48	$156.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $117.10 / $162.60	Professional		$90.75	$117.10	$162.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.13 / $72.45 / $98.69	Professional	26	$57.13	$72.45	$98.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $119.74 / $194.92	Professional		$97.24	$119.74	$194.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.37 / $69.04 / $113.16	Professional	26	$55.37	$69.04	$113.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $150.41 / $248.02	Professional		$102.90	$150.41	$248.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.44 / $93.25 / $145.90	Professional	26	$65.44	$93.25	$145.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $149.97 / $292.17 / $292.17	Facility	26	$149.97	$292.17	$292.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $163.44 / $728.40	Professional		$110.61	$163.44	$728.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.37 / $95.40 / $414.32	Professional	26	$62.37	$95.40	$414.32
United Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $153.25 / $283.43	Professional		$109.75	$153.25	$283.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.77 / $84.31 / $146.72	Professional	26	$61.77	$84.31	$146.72