Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $64.57 / $114.82	Facility		$34.67	$64.57	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $141.25	Professional		$38.02	$72.44	$141.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $93.33 / $416.87	Professional	25	$75.86	$93.33	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $107.15	Professional		$72.44	$77.62	$107.15
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $102.33 / $102.33 / $102.33	Professional	25	$102.33	$102.33	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $102.33	Professional		$40.74	$61.66	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $85.11 / $117.49	Professional		$39.81	$85.11	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $147.91	Professional		$41.69	$72.44	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $70.79 / $141.25	Facility		$35.48	$70.79	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $549.54	Professional		$64.57	$93.33	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $104.71	Professional		$38.90	$60.26	$104.71