Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $125.89 / $162.18	Facility		$81.28	$125.89	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $251.19	Professional		$72.44	$100.00	$251.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $112.20 / $112.20 / $112.20	Professional	25	$112.20	$112.20	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $114.82	Professional		$67.61	$83.18	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $128.82	Professional		$61.66	$93.33	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $181.97	Professional		$95.50	$123.03	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $162.18	Professional		$64.57	$95.50	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $104.71 / $177.83	Facility		$87.10	$104.71	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $575.44	Professional		$75.86	$107.15	$575.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $169.82	Professional		$69.18	$144.54	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $75.86 / $117.49	Facility		$70.79	$75.86	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $154.88	Professional		$72.44	$97.72	$154.88