Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $65.03 / $113.83	Facility		$35.07	$65.03	$113.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $65.03 / $115.34	Professional		$35.53	$65.03	$115.34
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.00 / $86.70 / $128.35	Professional	25	$85.00	$86.70	$128.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $73.18 / $106.55	Professional		$68.66	$73.18	$106.55
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $123.46 / $123.46 / $123.46	Professional	25	$123.46	$123.46	$123.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $61.00 / $100.75	Professional		$41.34	$61.00	$100.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $75.70 / $145.30	Professional		$43.90	$75.70	$145.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $70.86 / $146.22	Facility		$35.53	$70.86	$146.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $93.95 / $544.05	Professional		$59.87	$93.95	$544.05
United Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $80.31 / $110.76	Professional		$54.64	$80.31	$110.76