Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	25	$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $81.28 / $151.36	Professional		$41.69	$81.28	$151.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $85.11 / $181.97	Professional	25	$75.86	$85.11	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $112.20	Professional		$72.44	$97.72	$112.20
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $54.95 / $89.13 / $138.04	Professional	25	$54.95	$89.13	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $97.72	Professional		$43.65	$60.26	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $89.13 / $109.65	Professional		$43.65	$89.13	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $151.36	Professional		$43.65	$75.86	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $75.86 / $147.91	Facility		$38.90	$75.86	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $562.34	Professional		$64.57	$97.72	$562.34
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $100.00 / $107.15 / $177.83	Professional	25	$100.00	$107.15	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $109.65	Professional		$39.81	$63.10	$109.65