Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $68.34	Facility		$38.64	$38.64	$68.34
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $58.53 / $58.53 / $58.53	Facility	25	$58.53	$58.53	$58.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $69.22 / $109.73	Professional		$39.14	$69.22	$109.73
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $79.45 / $85.00 / $133.51	Professional	25	$79.45	$85.00	$133.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $82.76 / $108.58	Professional		$72.23	$82.76	$108.58
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $55.48 / $88.52 / $131.94	Professional	25	$55.48	$88.52	$131.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $58.56 / $97.92	Professional		$43.67	$58.56	$97.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $79.43 / $147.93	Professional		$45.13	$79.43	$147.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $76.48 / $153.66	Facility		$38.65	$76.48	$153.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $97.77 / $563.47	Professional		$62.69	$97.77	$563.47
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $100.61 / $105.73 / $177.93	Professional	25	$100.61	$105.73	$177.93
United Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $80.87 / $123.63	Professional		$50.07	$80.87	$123.63