Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $78.81 / $78.81	Facility		$78.81	$78.81	$78.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $81.68 / $129.27	Professional		$61.81	$81.68	$129.27
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	25	$120.00	$120.00	$120.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $83.97 / $118.93	Professional		$73.45	$83.97	$118.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $81.06 / $81.06	Facility		$81.06	$81.06	$81.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $69.76 / $117.09	Professional		$34.50	$69.76	$117.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $96.10 / $171.35	Professional		$62.00	$96.10	$171.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $91.98 / $158.93	Facility		$77.55	$91.98	$158.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $114.92 / $561.11	Professional		$69.29	$114.92	$561.11
United Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $96.92 / $184.16	Professional		$65.66	$96.92	$184.16