Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $114.01	Facility		$72.00	$72.00	$114.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $119.73 / $190.00	Professional		$73.23	$119.73	$190.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $153.00 / $156.06 / $288.14	Professional	25	$153.00	$156.06	$288.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $134.59 / $176.96	Professional		$122.07	$134.59	$176.96
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $98.50 / $125.17 / $229.26	Professional	25	$98.50	$125.17	$229.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $110.00 / $173.08	Professional		$84.15	$110.00	$173.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.93 / $266.27	Professional		$77.62	$138.93	$266.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $131.16 / $256.87	Facility		$72.00	$131.16	$256.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $163.35 / $944.28	Professional		$109.84	$163.35	$944.28
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $165.00 / $179.52 / $181.42	Professional	25	$165.00	$179.52	$181.42
United Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $129.76 / $190.83	Professional		$84.97	$129.76	$190.83